Non skeletal causes of back pain: Imaging Review

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2017

Poster Number:

C-1108

Type:

Educational Exhibit

Keywords:

Arteries / Aorta, Musculoskeletal soft tissue, Vascular, Conventional radiography, CT-Angiography, Digital radiography, Diagnostic procedure, Education, Dissection, Education and training, Patterns of Care

Authors:

T. Simelane¹, N. El Saeity², N. Ramesh³; ¹Tralee/IE, ²Cheshire/UK, ³Portlaoise/IE

DOI:

10.1594/ecr2017/C-1108

DOI-Link:

https://dx.doi.org/10.1594/ecr2017/C-1108

Fig. 1: Intralobar pulmonary sequestration

Fig. 2: Infective changes right lower lobe

Fig. 3: Subcutaneous metastatic lesions from a primary pulmonary adenocarcinoma

Fig. 5: Left ovarian vein thrombosis

Learning objectives

The purpose of this educational exhibit is to present an imaging review ofnon-skeletalcauses of back pain

Background

Low back and back pain affects up to 80% of the population at some point in time. It is one of the commonest causes of presentation at the physician or outpatient clinic. While most of the causes of back are due to skeletal causes, other causes need to be excluded for effective clinical management. The following are the causes that mimic back pain and or present with symptoms of back pain BODY REGION CAUSE PATTERN OF BACK PAIN Vascular Aortic erosion of the spine Abdominal...

Findings and procedure details

Non skeletal causes of back pain include vascular {Abdominal aortic aneurysm, aortic or vascular dissection}, renal { infection or calculi}, pancreatic, intestinal {appendix diverticular disease, obstruction}, muscular { psoas abnormalities}, gynaecological . These causes are common in older patients, although it can occur in younger patients, Plain films, ultrasound scanning, CT scans and in some cases MRI will help exclude the non skeletal causes of back pain and influence patient management Case 1: Patient with recurrent chest and back pain, mainly on the left. Plain...

Conclusion

A variety of non skeletal causes can presented with back pain: most lesions are vascular in nature ; other causes as listed can mimic and present with back pain. Reporting Radiologist should be aware of these causes and these regions should be reviewed prior to reporting The referring teams should be notified if urgent and critical casesare presented and diagnosed

Personal information

T Simelane Consultant Radiologist Kerry General Hospital Tralee Ireland Nabil El Saeity Consultant Radiologist Nagabathula Ramesh Consultant Radiologist Midland Regional Hospital, Portlaoise Ireland

References

www.sahealth.sa.gov.au: differential diagnosis of back pain Abdominal differential diagnosis in a patient referred to a physical therapy clinic: Stowell T et al: jospt.org/doi/pdf/10.2519/jospt.2005.35.11.755 Mimics of Renal colic: alternate diagnoses at unenhanced Helical CT: Rucker CM, Bhalla S: Radiographics, Oct 2004: doi:http://dx.doi.org/10.1148/rg.24si045505 Alternate or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with 1000 consecutive examinations: Katz DS, Lane MJ: Urology,2000 Jul: 56 {1}53-7. CT of acute abdominal aortic disorders. Bhalla S, Heiken J: Radiol Clin North Am 2004: 41:1153-1169 Acute aortic...