Reumatizam, Vol. 66 No. 1, 2019.
Review article
https://doi.org/10.33004/reumatizam-66-1-4
Osteitis pubis and osteomyelitis pubisv in pregnancy – two case reports
Neven Tučkar
; Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Ivka Djaković
; Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Ida Marija Šola
; Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Matej Mustapić
; Department of Diagnostic and Interventional Radiology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Ozren Grgić
; Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Vesna Košec
; Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Abstract
Pubic pain frequently accompanies uneventful pregnancies and is a common symptom in pregnancy. Still, in some cases, especially when it is associated with walking difficulties, persistent and/or severe pubic pain, and inflammation that can be confirmed by laboratory parameters, it should be taken with additional caution. Differential diagnosis
should include osteitis pubis, a non-bacterial, self-limited inflammation that leaves no permanent consequences, but also, more importantly, osteomyelitis of the pubic symphysis. This is a rare bacterial infection in pregnancy, important to be diagnosed in time and treated early and properly since it can leave serious long-term complications such as
fistulas that require prolonged treatment and sometimes even surgery. A multidisciplinary approach is mandatory to exclude all the other potential causes of pubic pain and make a timely diagnosis of osteomyelitis. We present two patients with pubic pain during pregnancy, with two different diagnoses and treatment options, and a favorable outcome that was the result of a multidisciplinary approach.
Keywords
Pelvic pain – etiology; Osteitis – diagnosis, therapy; Osteomyelitis – diagnosis, therapy; Pregnancy complications, infectious – diagnosis, therapy; Pubic symphysis – pathology
Hrčak ID:
226242
URI
Publication date:
16.10.2019.
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