Osteomyelitis of Symphysis Pubis: Case Report

  • Hussein Ali Hamad Consultant Surgeon, Al-Nassiriyah Teaching Hospital
  • Haider Shaheed Mohammed lecturer, College of medicine, University of Thiqar
  • Rafid Remthan Hussein Clinical Radiologist, DMRD, CABMs, Al-Hussein Teaching Hospital

Abstract

Osteomyelitis of symphysis pubis is rarefied existence with ensuing deleterious sequela if not diagnosed swiftly and treated decently. Diverse reviews in publications about inflammatory, infective, and septic insult at this locus. As a matter of fact the diagnosis of this entity is oftentimes overlooked due to rareness,ambiguity,and resemblance with other simulating ailment thus impeding the diagnosis with accompanying ramifications incorporating abscess. We present a case of osteomyelitis of symphysis pubis in 23 years old male  who misdiagnosed with durable deferral and displaying as an abscess that mandating invasive intervention highlighting that physician should have had lower threshold for maintaining suspicion of this infrequently encountered entity.

References

Justin Y,David C. Osteomyelitis pubis: A rare and Elusive Diagnosis. Western Journal of Emergency Medicine.2014 Nov;15(7):880-882.doi:10.5811/westjem.2014.8.13401.PMCID:PMC4251242.PMID:25493141.

Saad M A,Fan J,Bardia B,et al.Symphysis Pubis Osteomyelitis with Bilateral Adductor Muscles Abscess, case reports in orthopedics,vol.2014,Article ID 982171,3 pages,2014.https://doi.org/10.1155/2014/982171.

Leila K,Jonelle M,Petscavage,et al.Postpartum symphysis pubis diastasis. Radiology case Reports.2011;6(3):542.PMCID:PMC4900060.PMID:27307920.

Vipul,K.,&Donato,A.A.(2007).Spontaneous pubic osteomyelitis-a rare cause of groin pain. Journal of General Internal Medicine,22(Issue1),234-235.

Pauli S,Willemsen P,Declerck K,Chappel R,et al.Osteomyelitis pubis versus Osteitis Pubis: a case presentation and review of the literature. British Journal Of Sport Medicine, volume 36,Issue 1.

Patrick Gomella,and Patrick Mufarrij.Reviews In Urology.2017;19(3):165-163.doi:10.3909/riu0767.PMCID:PMC5737342.PMID:29302238.

Imane E,Fatema Z A,Samia M,et al.Septic arthritis of the pubic symphysis: a case report. The Pan African Medical Journal, volume 18,Article 149,17 Jun 2014/10.11604/pamj.2014.18.149.4421.

Stefano C,Fulvio B,Chiara B.Osteomyelitis of the pubic Symphysis caused by methicillin-resistant Staphylococcus aureus after vaginal delivery: a case report and literature review.BMC Infectious Diseases 19,952(2019).https://doi.org/10.1186/s12879-019-4595-x.

Published
2022-04-24
Section
Articles