Abstract
Gout is the most common crystal-induced arthritis. Gouty tophi typically deposit in the extremities, especially toes and fingers. We present an unusual case of intrapelvic tophaceous gout in a patient suffering from chronic gouty arthritis. CT and MRI of the abdomen and pelvic cavity disclosed calcified gouty tophi around both hips, and a cystic lesion with peripheral enhancement in the pelvic cavity along the course of the iliopsoas muscle. The intra-abdominal tophus mimicked pelvic abscess.
MeSH terms
-
Abdomen / pathology*
-
Abdominal Pain / etiology
-
Abscess / diagnosis*
-
Adult
-
Alcoholism / complications
-
Biopsy, Needle
-
Contrast Media / administration & dosage
-
Diagnosis, Differential
-
Gout / complications
-
Gout / diagnosis*
-
Gout / drug therapy
-
Gout Suppressants / administration & dosage
-
Hip / diagnostic imaging
-
Hip / pathology
-
Humans
-
Leukocyte Count / methods
-
Male
-
Pelvis / diagnostic imaging*
-
Pelvis / pathology*
-
Radiographic Image Enhancement / methods
-
Radiography, Abdominal / methods
-
Rare Diseases
-
Treatment Outcome
-
Uric Acid / blood
Substances
-
Contrast Media
-
Gout Suppressants
-
Uric Acid