Journals / Journal of Experimental and Clinical Medicine / 2022 / Cilt: 39 - Sayı: 3

Causes of Parity-Related Pelvic Pain Found Incidentally on Sacroiliac Joint MRI: Osteitis Condensans Ilii and Pelvic Congestion Syndrome

Pages
649–653
Publication Date
2022-08-30
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The the data of 700 female patients who attended the hospital with complaints of low back pain were investigated and it was found that the number of births experienced by the patient significantly correlated with OCI (OR:3.3) and PCS (OR:5.1).

📌 3 Key Takeaways

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Objective & Hypothesis:Chronic Pelvic Pain (CPP) is defined as severe pain that persists continuously or intermittently for six months or longer in women, is unrelated to sexual intercourse or menstruation, is likely to cause functional limitation, and requires medical treatment.
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Key Findings & Data:The the data of 700 female patients who attended the hospital with complaints of low back pain were investigated and it was found that the number of births experienced by the patient significantly correlated with OCI (OR:3.3) and PCS (OR:5.1).
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Conclusion & Impact:Even when MRI shows no evidence of sacroiliitis in a multiparous woman admitted with low back pain, these two differential diagnoses should still be considered by clinicians and radiologists.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Chronic pelvic pain · pelvic congestion syndrome · osteitis condensans ilii

Abstract

Chronic Pelvic Pain (CPP) is defined as severe pain that persists continuously or intermittently for six months or longer in women, is unrelated to sexual intercourse or menstruation, is likely to cause functional limitation, and requires medical treatment. Osteitis Condensans Ilii (OCI) and Pelvic Congestion Syndrome (PCS) are known causes of CPP. Sacroiliac joint Magnetic Resonance Imaging (MRI) can show different clinical mimickers of sacroiliitis and pelvic pain causes such as OCI and PCS. In this study, our aim was to investigate the frequency of OCI and PCS in patients referred to our clinic for Sacroiliac joint MRI due to low back-pelvic pain and to analyze their association with age, presence of sacroiliitis and multiparity. The the data of 700 female patients who attended the hospital with complaints of low back pain were investigated and it was found that the number of births experienced by the patient significantly correlated with OCI (OR:3.3) and PCS (OR:5.1). Even when MRI shows no evidence of sacroiliitis in a multiparous woman admitted with low back pain, these two differential diagnoses should still be considered by clinicians and radiologists.

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Cite This Article

ÖZBALCI, A. B., TOSUN, M. (2022). Causes of Parity-Related Pelvic Pain Found Incidentally on Sacroiliac Joint MRI: Osteitis Condensans Ilii and Pelvic Congestion Syndrome. Journal of Experimental and Clinical Medicine, Cilt: 39 - Sayı: 3, 649–653. https://ajindex.com/articles/677631

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References (17)

  1. Asciutto, G., et al., 2008. MR venography in the detection of pelvic venous congestion. Eur J Vasc Endovasc Surg. 36, 491-6.
  2. Beard, R.W., et al., 1984. Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet. 2, 946-9.
  3. Biswas, S., et al., 2019. Osteitis Condensans Ilii: An Uncommon Cause of Back Pain. Cureus. 11, e4518. Borghi, C., Dell'Atti, L., 2016. Pelvic congestion syndrome: the current state of the literature. Arch Gynecol Obstet. 293, 291-301.
  4. Cheong, Y., William Stones, R., 2006. Chronic pelvic pain: aetiology and therapy. Best Pract Res Clin Obstet Gynaecol. 20, 695-711.
  5. Cimsit, C., et al., 2017. Evaluation of sacroiliac joint MRI for pelvic venous congestion signs in women clinically suspected of sacroiliitis. Acta Radiol. 58, 849-855.
  6. Coakley, F.V., Varghese, S.L., Hricak, H., 1999. CT and MRI of pelvic varices in women. J Comput Assist Tomogr. 23, 429-34.
  7. Ekin, E.E., Yıldız, H.K., 2017. Kronik Pelvik Ağrı Ayırıcı Tanısında Pelvik Venöz Konjesyon. Journal of Academic Research in Medicine. 7. Eshed, I., Lidar, M., 2017. MRI Findings of the Sacroiliac Joints in Patients with Low Back Pain: Alternative Diagnosis to Inflammatory Sacroiliitis. Isr Med Assoc J. 19, 666-669.
  8. Giacchetto, C., et al., 1990. Ovarian varicocele: ultrasonic and phlebographic evaluation. J Clin Ultrasound. 18, 551-5.
  9. Grace, V.M., Zondervan, K.T., 2004. Chronic pelvic pain in New Zealand: prevalence, pain severity, diagnoses and use of the health services. Aust N Z J Public Health. 28, 369-75.
  10. Harris, R.D., Holtzman, S.R., Poppe, A.M., 2000. Clinical outcome in female patients with pelvic pain and normal pelvic US findings. Radiology. 216, 440-3.
  11. Jans, L., et al., 2014. MRI of the SI joints commonly shows non-inflammatory disease in patients clinically suspected of sacroiliitis. Eur J Radiol. 83, 179-84.
  12. Kuligowska, E., Deeds, L., 3rd, Lu, K., 3rd, 2005. Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics. 25, 3-20.
  13. Ma, L., et al., 2018. Osteitis condensans ilii may demonstrate bone marrow edema on sacroiliac joint magnetic resonance imaging. Int J Rheum Dis. 21, 299-307.
  14. Mathias, S.D., et al., 1996. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 87, 321-7.
  15. Mitra, R., 2010. Osteitis Condensans Ilii. Rheumatol Int. 30, 293-6.
  16. Numaguchi, Y., 1971. Osteitis condensans ilii, including its resolution. Radiology. 98, 1-8.
  17. Nykoliation, J., Cassidy, J., Dupuis, P., 1984. Osteitis