Osteitis pubis

Case contributed by Dr Gaurav Som Prakash Gupta

Presentation

Referred for MRI due to ultrasound-detected right ovarian cyst. Presented with vague lower abdominal pain. History of recent full term normal vaginal delivery.

Patient Data

Gender: Female
Modality: MRI

The MRI reveals edema in the parasymphyseal region of the pubic bone - mainly on the right side but also minimally on the left side.

The post contrast image (fat subtraction images) reveals enhancement in the region of bone edema. 

In the sagittal images the ovarian cyst is visible (not the subject of presentation in the present case).

Case Discussion

The MRI findings are consistent with osteitis pubis. The ovarian cyst seems to be an incidental finding as the primarily patient presented with pain lower abdomen which, increased on walking and reduced on resting. 

She is a 37 year old female with a history of recent full term vaginal delivery (2 months ago). She is not an athlete or sports women. The vaginal delivery may be the reason of osteitis pubis in this case, however, there are only few case reports describing the osteitis pubis following vaginal delivery. 

Diagnosis is mainly based on correlation of clinical data and the MRI findings. No further confirmation was done.

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Case Information

rID: 39829
Case created: 22nd Sep 2015
Last edited: 21st May 2016
Inclusion in quiz mode: Included

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