Osteitis pubis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Bilateral inguinal pain.

Patient Data

Age: 30
Gender: Male
CT

CT pelvis

Subchondral erosive changes along symphysis pubis articular surfaces with irregular articular surfaces, subchondral sclerosis and cystic changes.

MRI

MRI pelvis

The symphysis pubis showed bilateral para-symphyseal edematous marrow changes. This is associated with feathery T2 hyperintensity at the myo-tendinous junction of the origin of the adductor brevis muscles bilaterally, more on the right. Intact tendons of the adductor longus muscles, on both sides.

Also noted;

  • Bilateral Os acetabuli.
  • Tiny sub cortical cystic changes along the anterior aspect of the right femoral head- neck junction (synovial herniation pits).

Case Discussion

Osteitis pubis is inflammation of symphysis pubis and adjacent soft tissues, a cause of pelvic pain. It appears as erosive bone changes in CT and parasymphyseal bone marrow oedema at MRI.

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Case information

rID: 52818
Case created: 21st Apr 2017
Last edited: 23rd Apr 2017
Inclusion in quiz mode: Included

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