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Groin pain in the postradiotherapy pelvis: have you considered osteomyelitis?

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Groin pain in the postradiotherapy pelvis : have you considered osteomyelitis? / Dworkin, Aryeh; Riaz, Ehsan; Vasdev, Nikhil.

In: BMJ Case Reports, Vol. 15, No. 6, 08.06.2022.

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@article{51977ebab1ba40248f9f9555595d02e5,
title = "Groin pain in the postradiotherapy pelvis: have you considered osteomyelitis?",
abstract = "A man in his 80s presented to the emergency department with a 5-week history of lower abdominal and groin pain which had substantially affected his mobility. He practised intermittent self-catheterisation following radiotherapy for prostate cancer. Multiple suggestive features led to initial treatment for a urinary tract infection (UTI). However, CT imaging revealed pubic symphysis osteomyelitis with associated abdominal wall abscesses and fistulation to the prostate. This case illustrates the need to consider osteomyelitis as a differential for pain in previously irradiated body areas and to beware of diagnosing UTI where pain affects mobility.",
keywords = "Groin, Humans, Male, Osteomyelitis/diagnosis, Pelvic Pain/etiology, Pelvis, Pubic Symphysis/diagnostic imaging",
author = "Aryeh Dworkin and Ehsan Riaz and Nikhil Vasdev",
note = "{\textcopyright} BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2022",
month = jun,
day = "8",
doi = "10.1136/bcr-2021-247314",
language = "English",
volume = "15",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",
number = "6",

}

RIS

TY - JOUR

T1 - Groin pain in the postradiotherapy pelvis

T2 - have you considered osteomyelitis?

AU - Dworkin, Aryeh

AU - Riaz, Ehsan

AU - Vasdev, Nikhil

N1 - © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2022/6/8

Y1 - 2022/6/8

N2 - A man in his 80s presented to the emergency department with a 5-week history of lower abdominal and groin pain which had substantially affected his mobility. He practised intermittent self-catheterisation following radiotherapy for prostate cancer. Multiple suggestive features led to initial treatment for a urinary tract infection (UTI). However, CT imaging revealed pubic symphysis osteomyelitis with associated abdominal wall abscesses and fistulation to the prostate. This case illustrates the need to consider osteomyelitis as a differential for pain in previously irradiated body areas and to beware of diagnosing UTI where pain affects mobility.

AB - A man in his 80s presented to the emergency department with a 5-week history of lower abdominal and groin pain which had substantially affected his mobility. He practised intermittent self-catheterisation following radiotherapy for prostate cancer. Multiple suggestive features led to initial treatment for a urinary tract infection (UTI). However, CT imaging revealed pubic symphysis osteomyelitis with associated abdominal wall abscesses and fistulation to the prostate. This case illustrates the need to consider osteomyelitis as a differential for pain in previously irradiated body areas and to beware of diagnosing UTI where pain affects mobility.

KW - Groin

KW - Humans

KW - Male

KW - Osteomyelitis/diagnosis

KW - Pelvic Pain/etiology

KW - Pelvis

KW - Pubic Symphysis/diagnostic imaging

U2 - 10.1136/bcr-2021-247314

DO - 10.1136/bcr-2021-247314

M3 - Article

C2 - 35675964

VL - 15

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

IS - 6

ER -