Improving Diagnostic Image: bladder pain but something more


A 59-year-old man had a diagnosis of metastatic prostate cancer. He referred hypogastric pain, like “cramps”, when he was going to the toilet. But the pain has also relation with the movement of his right leg…

 FINAL DIAGNOSIS: pathologic fracture of acetabulum and sacroiliac branch.

COMMENTS: When we suspect a bone fracture around the leg we always direct our thoughts over the femur. Some difficult situations are: a “compacted” fracture or the one related with the sacroiliac area like the one showed here.