Major perirectal hematoma complicating sacroiliac joint injection

Adiguzel E., Kesikburun S., Yasar E., Taskaynatan M. A.

Journal of Musculoskeletal Pain, vol.22, no.1, pp.99-101, 2014 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 1
  • Publication Date: 2014
  • Doi Number: 10.3109/10582452.2014.883032
  • Journal Name: Journal of Musculoskeletal Pain
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.99-101
  • Keywords: Complication, Perirectal hematoma, Sacroiliac injection
  • Yozgat Bozok University Affiliated: No


Background: Sacroiliac joint injection is both a way of confirming sacroiliac joint pain and a therapeutic method. Findings: A 40-year-old woman was presumptively diagnosed as having sacroiliac joint dysfunction and we performed a fluoroscopically guided sacroiliac joint injection. Many hours after the procedure, the patient developed severe buttock pain spreading to the posterior aspect of the femur on the left side. A pelvic magnetic resonance imaging revealed a 9 × 4 × 5.5 cm sized hematoma extending from the left obturator to the perirectal region. Conclusions: Because of anatomical variations, the practitioner should be alert to the risk of damaging vascular structures when performing therapeutic injections. © 2014 Informa Healthcare USA, Inc. All rights reserved: reproduction in whole or part not permitted.