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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0120102610.
Published online Oct 12, 2010. doi:  10.1136/bcr.01.2010.2610.R1
PMCID: PMC3030074
Rare disease
Osteomyelitis of the pubic symphysis after spontaneous vaginal delivery
Rikke Arildsen Dunk and Jens Langhoff-Roos
Department of Gynaecology and Obstetrics, Rigshospitalet, Copenhagen, Denmark
Correspondence to Rikke Arildsen Dunk, rikkedunk/at/msn.com
Abstract
Osteomyelitis ossis pubis is a painful disorder. It is rare following a normal vaginal delivery. In two cases, the diagnosis was verified by an ultrasound-guided needle aspiration postpartum. Both recovered after treatment with relevant antibiotics. The condition is easily misinterpreted as one of more common disorders like pelvic girdle pain, inflammation, diastasis or distortion of the pubic symphysis joint. If not recognised and treated, the condition can have severe consequences.
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