Unusual differential diagnosis of posttraumatic back pain

The differential diagnosis of lumbar back pain includes a broad spectrum of vertebral and extravertebral pathologies. Even in cases of a traumatic event physicians should keep an extravertebral cause in mind. This is a case report on the coincidence of perforated sigma diverticulitis and traumatic s...

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Bibliographic Details
Published in:Der Unfallchirurg 2014-11, Vol.117 (11), p.1057
Main Authors: Siekmann, H, Adler, D, Schneider, R, Weinitschke, K, Bach, A G
Format: Article
Language:ger
Subjects:
Aged, 80 and over
Back Pain - diagnosis
Back Pain - etiology
Diagnosis, Differential
Diverticulitis, Colonic - complications
Diverticulitis, Colonic - diagnostic imaging
Female
Fractures, Compression - complications
Fractures, Compression - diagnostic imaging
Humans
Radiography
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
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Summary:The differential diagnosis of lumbar back pain includes a broad spectrum of vertebral and extravertebral pathologies. Even in cases of a traumatic event physicians should keep an extravertebral cause in mind. This is a case report on the coincidence of perforated sigma diverticulitis and traumatic spine compression fracture in an 85-year-old woman with acute back pain. The presence of free retroperitoneal gas in the computed tomography (CT) scan was of significant diagnostic importance.
ISSN:1433-044X
DOI:10.1007/s00113-013-2503-1