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    Post-radiotherapy osteomyelitis of the symphysis pubis: computed tomographic features.

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    Authors
    Wignall, T A
    Carrington, Bernadette M
    Logue, John P
    Affiliation
    Department of Diagnostic Radiology, Christie Hospital NHS Trust, Withington, Manchester, UK.
    Issue Date
    1998-02
    
    Metadata
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    Abstract
    We report the clinical and computed tomography (CT) features of seven patients with osteomyelitis of the symphysis pubis following radiotherapy for bladder (n=4) or cervical (n=3) carcinoma. The patients presented with fistulae (n=5), pain (n=1) or small bowel obstruction (n=1) between 6 and 19 years after radiotherapy. The diagnosis was confirmed by surgery with histology or bacteriology of the symphysis pubis and/or associated abscess in all patients. In addition to bone destruction, other features identified on CT included abscesses, bowel loops adherent to the symphysis pubis and/or communicating with an abscess cavity, a soft tissue mass enveloping the residual bone, and fistulae. The combination of clinical and radiological features suggests osteomyelitis and, for patients who have had pelvic radiotherapy, this treatable condition should be included in the differential diagnosis of solitary symphysis pubis destruction.
    Citation
    Post-radiotherapy osteomyelitis of the symphysis pubis: computed tomographic features. 1998, 53 (2):126-30 Clin Radiol
    Journal
    Clinical Radiology
    URI
    http://hdl.handle.net/10541/92000
    DOI
    10.1016/S0009-9260(98)80059-7
    PubMed ID
    9502089
    Type
    Article
    Language
    en
    ISSN
    0009-9260
    ae974a485f413a2113503eed53cd6c53
    10.1016/S0009-9260(98)80059-7
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