Acute postpartum inflammatory sacroiliitis. A report of four cases
Floman, Y.; Milgrom, C.; Gomori, J.M.; Kenan, S.; Ezra, Y.; Liebergall, M.
Journal of Bone and Joint Surgery. British Volume 76(6): 887-890
1994
ISSN/ISBN: 0301-620X PMID: 7983112 Document Number: 424951
We report four patients with unilateral postpartum sacroiliitis presenting with agonising unilateral pain, an elevated ESR, elevated alkaline phosphatase levels, leucocytosis and positive bone scans. The diagnosis of a non-infectious inflammatory cause was supported by the postpartum onset, the response to non-steroidal anti-inflammatory drugs, negative aspiration cultures in two cases and the lack of changes in the sacroiliac joints on long-term follow-up radiographs.