Osteomyelitis of the pubic symphysis in pregnancy

Kendra Gamble, Thomas S. Dardarian, Joseph Finstein, Edward Fox, Harish Sehdev, Thomas C. Randall

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND: Pubic symphysis osteomyelitis during the antepartum period of pregnancy is rare. CASE: We report a patient in the third trimester who presented with pubic pain, low-grade fever, and altered gait. She was found to have a retropubic abscess at the time of cesarean delivery. Radiologic imaging showed findings consistent with osteomyelitis of the pubic symphysis and multiple pus collections in the pelvis and labia. The patient was treated with surgical debridement of the affected bone and placement of antibiotic- impregnated beads. CONCLUSION: Osteomyelitis of the pubic symphysis can have serious complications. The diagnosis should be considered in pregnant patients with clinical findings unusual for pubic symphysis diastases. It can be treated with antibiotic-impregnated beads.

Original languageEnglish (US)
Pages (from-to)477-481
Number of pages5
JournalObstetrics and Gynecology
Volume107
Issue number2 II
DOIs
StatePublished - Feb 1 2006

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Pubic Symphysis
Osteomyelitis
Pregnancy
Pubic Symphysis Diastasis
Anti-Bacterial Agents
Suppuration
Third Pregnancy Trimester
Debridement
Pelvis
Gait
Abscess
Fever
Bone and Bones
Pain

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Gamble, K., Dardarian, T. S., Finstein, J., Fox, E., Sehdev, H., & Randall, T. C. (2006). Osteomyelitis of the pubic symphysis in pregnancy. Obstetrics and Gynecology, 107(2 II), 477-481. https://doi.org/10.1097/01.AOG.0000199146.42113.0b
Gamble, Kendra ; Dardarian, Thomas S. ; Finstein, Joseph ; Fox, Edward ; Sehdev, Harish ; Randall, Thomas C. / Osteomyelitis of the pubic symphysis in pregnancy. In: Obstetrics and Gynecology. 2006 ; Vol. 107, No. 2 II. pp. 477-481.
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Gamble, K, Dardarian, TS, Finstein, J, Fox, E, Sehdev, H & Randall, TC 2006, 'Osteomyelitis of the pubic symphysis in pregnancy', Obstetrics and Gynecology, vol. 107, no. 2 II, pp. 477-481. https://doi.org/10.1097/01.AOG.0000199146.42113.0b

Osteomyelitis of the pubic symphysis in pregnancy. / Gamble, Kendra; Dardarian, Thomas S.; Finstein, Joseph; Fox, Edward; Sehdev, Harish; Randall, Thomas C.

In: Obstetrics and Gynecology, Vol. 107, No. 2 II, 01.02.2006, p. 477-481.

Research output: Contribution to journalArticle

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AB - BACKGROUND: Pubic symphysis osteomyelitis during the antepartum period of pregnancy is rare. CASE: We report a patient in the third trimester who presented with pubic pain, low-grade fever, and altered gait. She was found to have a retropubic abscess at the time of cesarean delivery. Radiologic imaging showed findings consistent with osteomyelitis of the pubic symphysis and multiple pus collections in the pelvis and labia. The patient was treated with surgical debridement of the affected bone and placement of antibiotic- impregnated beads. CONCLUSION: Osteomyelitis of the pubic symphysis can have serious complications. The diagnosis should be considered in pregnant patients with clinical findings unusual for pubic symphysis diastases. It can be treated with antibiotic-impregnated beads.

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Gamble K, Dardarian TS, Finstein J, Fox E, Sehdev H, Randall TC. Osteomyelitis of the pubic symphysis in pregnancy. Obstetrics and Gynecology. 2006 Feb 1;107(2 II):477-481. https://doi.org/10.1097/01.AOG.0000199146.42113.0b