A Clinical Example of an Accidentally Detected Asymptomatic Sacroiliitis in a Patient with Crohn's Disease (Clinical Case)
Abstract
Extra-intestinal manifestations in the form of diseases of the musculoskeletal system are often found in Crohn's disease, including sacroiliitis. Early changes in the sacroiliac joints often do not cause clinical symptoms and can only be determined by magnetic resonance imaging.
Objective. Demonstration of the possibilities of magnetic resonance enterography in the diagnosis of sacroiliitis.
Materials and Methods. A clinical case of asymptomatic sacroiliitis in a young patient with severe Crohn's disease is presented. Magnetic resonance enterography and magnetic resonance imaging of sacroiliac joints were performed on a GE tomograph (Optima 450w), with a magnetic field strength of 1,5 Tesla.
Results. During the interpretation of the results, data for active inflammation in the intestine were not revealed, however, unexpressed edema of the bone marrow in the adjacent sacroiliac joints was suspected. The patient was additionally examined on an MRI of the sacroiliac joints, during which the presence of edema was confirmed. At the same time, the patient had no complaints of joint pain.
Conclusion. Sacroiliitis is often found in patients with Crohn's disease and in most cases begins asymptomatically. Primary changes in the sacroiliac joints are more often visualized only according to magnetic resonance imaging. Based on this, the use of magnetic resonance enterography, used in such patients, may also be useful for visualizing inflammatory changes in sacroiliac joints.
Supporting agencies: The study was not funded by any sources.
About the Authors
G. M. Zhargalova
City Regional Oncological Clinic; Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Zhargalova Galina Munkoevna, graduate Student; A radiologist of radiology department
Irkutsk
Author's contributions: a research, analysis and interpretation of the data obtained, literature analysis, text writing, collection of material
P. V. Seliverstov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Seliverstov Pavel Vladimirovich, radiologist, M.D. Med. Sciences, Senior Researcher of Laboratory Radiology NCO of neurosurgery
Irkutsk
Author’s contribution: creating a research concept, the article review
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For citations:
Zhargalova G.M., Seliverstov P.V. A Clinical Example of an Accidentally Detected Asymptomatic Sacroiliitis in a Patient with Crohn's Disease (Clinical Case). Radiology - Practice. 2025;(1):56-65. (In Russ.)
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