“Fish-mouth” vertebrae in sickle cell anemia

“Fish-mouth” vertebrae in sickle cell anemia ª Springer Science+Business Media New York 2017 Abdom Radiol (2017) 42:2389–2390 Published online: 11 April 2017 DOI: 10.1007/s00261-017-1147-y Abdominal Radiology Eduardo Kaiser Ururahy Nunes Fonseca , Adham do Amaral e Castro, Durval do Carmo Barros Santos, Laercio Alberto Rosemberg Imaging Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, Sa˜ o Paulo 05652-901, Brazil The consecutive vertebral central depression seen in sickle cell anemia vertebrae is known as ‘‘fish-mouth’’ (Figs. 1, 2) vertebrae due to the similarity of upper ver- tebral inferior endplate together with lower vertebra superior endplate and a fish with opened mouth [1] (Fig. 3). It is thought to be secondary of subchondral infarctions of the central endplates and subsequent disk compression of the infarcted bone, leading to the deformity and arching of endplates. The peripheral portions of the endplates are usually spared because of collateral circulation [1, 2]. ‘‘Fish-mouth’’ vertebrae may be found eventually in abdominal and pelvic radiographs, CT and MRIs. Therefore, they should be recognized. Although present in up to 10% of the patients with sickle cell anemia, those vertebral alterations are non-specific and were also de- scribed in Gaucher’s disease [3, 4]. Fig. 1. Pelvic and lumbar radiographs of a patient with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Abdominal Radiology Springer Journals

“Fish-mouth” vertebrae in sickle cell anemia

Loading next page...
Springer US
Copyright © 2017 by Springer Science+Business Media New York
Medicine & Public Health; Imaging / Radiology; Gastroenterology; Hepatology
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial