Presentation
Incidental finding during work-up for abdominal pain and cholelithiasis.
Patient Data
There are three, metallic, winged, soft-tissue bone anchors overlying the proximal pubic rami bilaterally.
There is a non-specific bowel gas pattern.
Skeletal degenerative changes are appropriate for age, with no occult bone lesions.
Case Discussion
An incidental finding of a triad of metallic, winged, soft tissue bone anchors overlying the superior pubic rami bilaterally suggests prior pelvic sling surgery.
The patient confirmed a history of urinary stress incontinence and the performance of a bladder sling procedure many years prior.