Osteomyelitis of the ischiopubic synchondrosis

Case contributed by Ammar Haouimi

Presentation

Two weeks of right groin pain and fever with elevated inflammatory markers.

Patient Data

Age: 9 years
Gender: Male

Cortical irregularity of the right ischiopubic synchondrosis with bone marrow edema extending to the ipsilateral superior pubic ramus.

Edematous infiltration with enhancement of the surrounding soft tissues mainly the obturator muscles with a small abscess formation of the obturator externus.

Case Discussion

The clinical presentation and the MRI features are most consistent with ischiopubic osteomyelitis.

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