Ischiopubic synchondrosis - symptomatic

Case contributed by Dr Ammar Haouimi

Presentation

Left groin pain

Patient Data

Age: 6 years
Gender: Female

There is a localized enlargement with osteolysis of the left inferior pubic ramus.

The MRI sequences demonstrate enlargement of the left ischiopubic synchondrosis with irregular margins, and associated edema and enhancement of the bone marrow and adjacent external obturator muscles.

Normal MR appearance of both hip, and sacroiliac joints. Note minimal peritoneal effusion. 

Case Discussion

The MRI findings are suggestive of a stress reaction within an ischiopubic synchondrosis.

On MR imaging, other conditions should be included in the differential diagnosis: stress fracture, post-traumatic osteolysis, osteomyelitis, and bone tumor.

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Case information

rID: 66272
Published: 12th Feb 2019
Last edited: 19th Feb 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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