Image of the week
Sacral rib
Costilla sacra
Gerard Carbo
, Elda Balliu, Pedro Ortuño, Isabel Pelaez
Corresponding author
Servicio de Radiología, Institut d’Investigació Biomèdica de Girona (IDIBGI), Institut de Diagnòstic per la Imatge (IDI), Hospital Universitario Dr. Josep Trueta, Girona, Spain
Read
Not available
Timeswas read the article
Total PDF
Total HTML
Share statistics
array:24 [ "pii" => "S2387020616300547" "issn" => "23870206" "doi" => "10.1016/j.medcle.2016.04.032" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3288" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:556" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775315002146" "issn" => "00257753" "doi" => "10.1016/j.medcli.2015.04.003" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3288" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:556" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 494 "formatos" => array:2 [ "HTML" => 19 "PDF" => 475 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen de la semana</span>" "titulo" => "Costilla sacra" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "556" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sacral rib" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1138 "Ancho" => 1658 "Tamanyo" => 235672 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gerard Carbo, Elda Balliu, Pedro Ortuño, Isabel Pelaez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Gerard" "apellidos" => "Carbo" ] 1 => array:2 [ "nombre" => "Elda" "apellidos" => "Balliu" ] 2 => array:2 [ "nombre" => "Pedro" "apellidos" => "Ortuño" ] 3 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pelaez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020616300547" "doi" => "10.1016/j.medcle.2016.04.032" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300547?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002146?idApp=UINPBA00004N" "url" => "/00257753/0000014500000012/v1_201512060029/S0025775315002146/v1_201512060029/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2387020616300559" "issn" => "23870206" "doi" => "10.1016/j.medcle.2016.04.033" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3297" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:e41" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the week</span>" "titulo" => "Nicolau syndrome after glatiramer acetate injection" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e41" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Nicolau tras inyección de acetato de glatirámero" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 633 "Ancho" => 951 "Tamanyo" => 96486 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alejandro Lobato-Berezo, Marcela Martínez-Pérez, Adrián Imbernón-Moya, Miguel Ángel Gallego-Valdés" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Lobato-Berezo" ] 1 => array:2 [ "nombre" => "Marcela" "apellidos" => "Martínez-Pérez" ] 2 => array:2 [ "nombre" => "Adrián" "apellidos" => "Imbernón-Moya" ] 3 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Gallego-Valdés" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775315002237" "doi" => "10.1016/j.medcli.2015.04.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002237?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300559?idApp=UINPBA00004N" "url" => "/23870206/0000014500000012/v1_201605120032/S2387020616300559/v1_201605120032/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2387020616300535" "issn" => "23870206" "doi" => "10.1016/j.medcle.2016.04.031" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3287" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2015;145:e39-40" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Atypical presentation and delayed diagnosis in a case of primary bile acid synthesis disorder" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e39" "paginaFinal" => "e40" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Presentación atípica y diagnóstico tardío en un caso de déficit primario de ácidos biliares" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Garfia Castillo, Javier Manzanares López-Manzanares, M. Teresa García Silva" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Garfia Castillo" ] 1 => array:2 [ "nombre" => "Javier" "apellidos" => "Manzanares López-Manzanares" ] 2 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "García Silva" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775315002134" "doi" => "10.1016/j.medcli.2015.04.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002134?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300535?idApp=UINPBA00004N" "url" => "/23870206/0000014500000012/v1_201605120032/S2387020616300535/v1_201605120032/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the week</span>" "titulo" => "Sacral rib" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "556" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Gerard Carbo, Elda Balliu, Pedro Ortuño, Isabel Pelaez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Gerard" "apellidos" => "Carbo" "email" => array:1 [ 0 => "gercarbo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Elda" "apellidos" => "Balliu" ] 2 => array:2 [ "nombre" => "Pedro" "apellidos" => "Ortuño" ] 3 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pelaez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiología, Institut d’Investigació Biomèdica de Girona (IDIBGI), Institut de Diagnòstic per la Imatge (IDI), Hospital Universitario Dr. Josep Trueta, Girona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Costilla sacra" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 683 "Ancho" => 995 "Tamanyo" => 129428 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 36 year-old-male reported right renal colic symptomatology associated with fever, leukocytosis, elevated inflammatory parameters and impaired renal function. Abdominal radiography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) showed several radiopaque images in the right renal fossa indicative of kidney stones. Also, an elongated digitiform bone structure was identified dependent on the middle and left side portion of the sacrum. The abdominal CT (oblique axial section of the pelvis, in soft-tissue-window (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b) and 3D volumetric reconstruction (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c)) showed the <span class="elsevierStyleItalic">sacral rib</span>, about 100<span class="elsevierStyleHsp" style=""></span>mm long, starting in the left inferior lateral angle of S4. This rib presented an oblique downward pathway passing behind the ischial portion of the left acetabulum, following anterior route and parallel to the gluteus maximus and contacting the ipsilateral inferior gemellus muscle (asterisk) and tendon of the internal obturator (+), involving sciatic nerve pathway (arrowheads) at this level.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Carbo G, Balliu E, Ortuño P, Pelaez I. Costilla sacra. Med Clin (Barc). 2015;145:556.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 683 "Ancho" => 995 "Tamanyo" => 129428 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014500000012/v1_201605120032/S2387020616300547/v1_201605120032/en/main.assets" "Apartado" => array:4 [ "identificador" => "43312" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the week" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014500000012/v1_201605120032/S2387020616300547/v1_201605120032/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300547?idApp=UINPBA00004N" ]
