Osteitis pubis

Case contributed by Dr Ayaz Hidayatov

Presentation

Young female at postpartum period presented with groin pain irradiates to both hips. No history of trauma.

Patient Data

Age: 30
Gender: Female
MRI

MR shows T1WI hypointense, T2Fs hyperintense para-articular bone marrow edema at the level of the pubic symphysis. No bone destruction or abscess formation was noted.

Periarticular soft tissues appear unremarkable.

Findings compatible with osteitis pubis. 

Case Discussion

Osteitis pubis is a self-limited painful non-infectious inflammation of the symphysis pubis. The most common causes of this condition are pregnancy/childbirth, pelvic surgery, trauma and athletic activity.

The postpartum period may lead morphologic changes on CT or MR imaging that require detailed analysis and accurate diagnosis by radiologists.

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Case information

rID: 54137
Case created: 23rd Jun 2017
Last edited: 23rd Jun 2017
Inclusion in quiz mode: Included

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