TY - JOUR T1 - An unusual complication of septic sacroiliitis: Hepatic and splenic infarction after iliac vein thrombosis TT - Septik sakroileitin nadir bir komplikasyonu: İliak ven trombozu sonrası gelişen hepatik ve splenik enfarkt AU - Danışan, Gürkan AU - Taş, Nurmuhammet AU - Polat, Gökhan AU - Oğul, Hayri PY - 2019 DA - October DO - 10.28982/josam.629561 JF - Journal of Surgery and Medicine JO - J Surg Med PB - Selçuk BAŞAK WT - DergiPark SN - 2602-2079 SP - 769 EP - 771 VL - 3 IS - 10 LA - en AB - Septic sacroiliitis typically presents with non-specific symptoms such as limping gait, radiating pain in the hip and lumbar region and fever. Differential diagnoses include pelvic abscess, lumbar disc herniation or septic arthritis of the hip, and misdiagnosis is common. Magnetic resonance imagining (MRI) greatly enhanced the ability to determine the extent of infection arising from the sacroiliac joint. We hereby present a rare case of hepatic and splenic infarction secondary to septic thrombophlebitis in a patient with sacroiliitis. KW - Splenic infarct KW - Hepatic infarct KW - Septic sacroiliitis KW - Magnetic resonance imaging N2 - Sakroileit genellikle topallama, kalça ve bel bölgesinde yayılan ağrı, ateş gibi non-spesifik semptomlarla prezente olabilir. Ayırıcı tanılar arasında pelvik abse, lumbar disk herniaayonu ve kalçanın septik artriti olup, yanlış tanı oranı yüksektir. Manyetik rezonans görüntüleme sakroiliak eklemden yayılan enfeksiyonun gösterilmesinde oldukça başarılıdır. Bu olgu sunumunda sakroileiti bulunan bir hastada septik trombofilebite bağlı gelişen hepatik ve splenik enfarkt sunulmuştur. CR - 1. Llop Vilaltella M, Maldonado Romero V, Guillén Astete C, de la Puente Bujidos C, de Casanova Peña C. Sacroiliitis and gluteal abscess secondary to Staphylococcus aureus infection. Reumatol Clin. 2015 Nov-Dec;11(6):398-400. CR - 2. Kim S, Lee KL, Baek HL, et al. A case of acute pyogenic sacroiliitis and bacteremia caused by community-acquired methicillin-resistant staphylococcus aureus. Infect Chemother. 2013;45:441–5. CR - 3. Roca B, Torres V. Pyomyositis of the iliacus muscle complicated with septic sacroiliitis. QJM. 2008;101:983–4. CR - 4. An S, Li B, Cui R, et al. Unusual complication of multiple splenic abscesses arising from a feeding jejunostomy tube subsequent to total gastrectomy: A case report and literature review. Oncol Lett. 2015;9:2398–400. CR - 5. Lardo S, Ariane A, Chen K. Septic Pulmonary embolism following appendectomy surgery. Acta Med Indones. 2015;47:234–7. CR - 6. Zimmermann B, Mikolich DJ, Lally EV. Septic sacroiliitis. Semin Arthritis Rheum. 1996;26:592–604. CR - 7. Taydas O, Kantarci M, Bayraktutan U, Ogul H. Supradiaphragmatic origin of the renal artery; frequency on contrast-enhanced MR imaging. Clin Imaging. 2018;52:152-6. CR - 8. Ulhaci N, Meteoglu I, Kacar F, Ozbas S. Abscess of the spleen. Pathol Oncol Res. 2004;10:234–6. CR - 9. Lee WS, Choi ST, Kim KK. Splenic abscess: a single institution study and review of the literature. Yonsei Med J. 2011;52:288–92. CR - 10. Luaces Mendez M, Vilacosta I, Sarria C, et al. Hepatosplenic and renal embolisms in infective endocarditis. Rev Esp Cardiol. 2004;57:1188–96. UR - https://doi.org/10.28982/josam.629561 L1 - https://dergipark.org.tr/en/download/article-file/830273 ER -