{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:17:18Z","timestamp":1756383438758,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,8,28]]},"abstract":"<jats:p>A 35-year-old female renal transplant recipient was referred to the metabolic bone clinic because of a 15\u2009cm loss of height. She was noted to have thoracic kyphosis and vertebral X-ray confirmed a wedge fracture of the eighth thoracic vertebra. She was managed accordingly but on subsequent follow-up mentioned in passing that her gynaecologist had been unable to obtain a cervical smear for routine screening. This led to further questioning, and the patient reported intermittent urinary stress incontinence, feelings of vaginal fullness and severe dyspareunia. It became apparent that these symptoms had been ongoing for 4\u2009years, but the patient had not brought them to the attention of a healthcare practitioner due to feelings of embarrassment and her religious beliefs. These complaints prompted radiological investigation, which revealed extensive bony pelvic deformity, thought to be an extreme manifestation of chronic kidney disease mineral and bone disorder.<\/jats:p>","DOI":"10.1136\/bcr-2017-220729","type":"journal-article","created":{"date-parts":[[2017,9,23]],"date-time":"2017-09-23T05:05:16Z","timestamp":1506143116000},"page":"bcr-2017-220729","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Extreme bony pelvic deformity in a renal transplant patient"],"prefix":"10.1136","volume":"2017","author":[{"given":"Alexander Henry","family":"Moffat","sequence":"first","affiliation":[{"name":"Department of Endocrinology, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyesh","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surabhi","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Radiology, University Hospital of Birmingham, Birmingham, Westmidlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarekegn","family":"Geberhiwot","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, University Hospital of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,23]]},"reference":[{"key":"2025082804464024000_2017.sep21_1.bcr-2017-220729.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60687-X"},{"key":"2025082804464024000_2017.sep21_1.bcr-2017-220729.2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2006070771"},{"key":"2025082804464024000_2017.sep21_1.bcr-2017-220729.3","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1097\/MNH.0000000000000203","article-title":"Optimal management of bone mineral disorders in chronic kidney disease and end stage renal disease","volume":"25","author":"Lundquist","year":"2016","journal-title":"Curr Opin Nephrol Hypertens"},{"key":"2025082804464024000_2017.sep21_1.bcr-2017-220729.4","doi-asserted-by":"publisher","DOI":"10.1258\/acb.2012.012004"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220729","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:46:46Z","timestamp":1756381606000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,23]]},"references-count":4,"alternative-id":["10.1136\/bcr-2017-220729"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220729","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,9,23]]}}}