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Obstetrics and Gynecology 2006-Feb

Osteomyelitis of the pubic symphysis in pregnancy.

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

Ključne riječi

Sažetak

BACKGROUND

Pubic symphysis osteomyelitis during the antepartum period of pregnancy is rare.

METHODS

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.

CONCLUSIONS

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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