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Intra-abdominal gout mimicking pelvic abscess

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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.

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Authors and Affiliations

  1. Department of Radiology, Kaohsiung Veterans General Hospital, 386 Ta-Chung first Rd., 813, Kaohsiung, Taiwan

    Chia-Hui Chen, Chia-Hui Chen, Clement Kuen-Huang Chen, Clement Kuen-Huang Chen, Lee-Ren Yeh, Huay-Ban Pan & Chien-Fang Yang

  2. School of Medicine, National Yang-Ming University, 155, Sec 2, Li-Nong Street, Shih-Pai Road, PeiTou, 112, Taipei, Taiwan

    Chia-Hui Chen, Clement Kuen-Huang Chen, Lee-Ren Yeh, Huay-Ban Pan & Chien-Fang Yang

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  1. Chia-Hui Chen
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  2. Clement Kuen-Huang Chen
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  3. Lee-Ren Yeh
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  4. Huay-Ban Pan
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  5. Chien-Fang Yang
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Correspondence to Chia-Hui Chen or Clement Kuen-Huang Chen.

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Chen, CH., Chen, C.KH., Yeh, LR. et al. Intra-abdominal gout mimicking pelvic abscess. Skeletal Radiol 34, 229–233 (2005). https://doi.org/10.1007/s00256-004-0827-1

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  • DOI: https://doi.org/10.1007/s00256-004-0827-1

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