"Sacroiliitis" as the initial manifestation of hepatocarcinoma
Alvarez, P.; Gómez Rodríguez, N.; Freire González, M.; García Porrúa, C.; Menéndez, M.D.; Sánchez Bursón, J.
Anales de Medicina Interna 10(3): 135-137
1993
ISSN/ISBN: 0212-7199 PMID: 8387354 Document Number: 416727
The hepatocellular carcinomas rarely develop in absence of a previous hepatopathy and their first clinical manifestations are not related, in general, to the metastasis located at the bones of the pelvic girdle. We present a multifocal hepatocarcinoma in a 17-year-old woman without known risk factors, whose initial manifestation was a clinical radiological picture suggesting left sacroiliitis. We stress this rare manifestation preceding the diagnosis of neoplasia two years later.