title: Intra-abdominal gout mimicking pelvic abscess.
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.
authors.affiliation: Department of Radiology, Kaohsiung Veterans General Hospital, and School of Medicine, National Yang-Ming University, Taipei, Taiwan. chiachen@yahoo.com.tw
authors.forename: Chia-Hui
authors.initials: CH
authors.lastname: Chen
authors.forename: Clement Kuen-Huang
authors.initials: CK
authors.lastname: Chen
authors.forename: Lee-Ren
authors.initials: LR
authors.lastname: Yeh
authors.forename: Huay-Ban
authors.initials: HB
authors.lastname: Pan
authors.forename: Chien-Fang
authors.initials: CF
authors.lastname: Yang
mesh_terms: D000005:Abdomen / Q000473:pathology*; D015746:Abdominal Pain / Q000209:etiology; D000038:Abscess / Q000175:diagnosis*; D000328:Adult; D000437:Alcoholism / Q000150:complications; D001707:Biopsy, Needle; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D006073:Gout / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006074:Gout Suppressants / Q000008:administration & dosage; D006615:Hip / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007958:Leukocyte Count / Q000379:methods; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging* / Q000473:pathology*; D011856:Radiographic Image Enhancement / Q000379:methods; D011860:Radiography, Abdominal / Q000379:methods; D035583:Rare Diseases; D016896:Treatment Outcome; D014527:Uric Acid / Q000097:blood
chemical_list: D003287:Contrast Media; D006074:Gout Suppressants; D014527:Uric Acid