Postpartum osteitis pubis following spontaneous vaginal delivery: A rare cause of pubalgia

Author(s): Nikhil Khadabadi, Ravi S Jatti, Dinesh R Kale, B B Putti

Abstract: Osteitis pubis is known as non infectious inflammation of the pubis symphysis. It is rarely seen in post partum period. We present a case of a 25 year old primigravida who had a spontaneous delivery at 37 weeks of gestation. Five days following the delivery she complained of dull aching pain the in lower abdominal and pubic region. Pain was continuous and gradually increased in severity. Plain radiography of pelvis showed irregular bony lesion at the level of pubic symphysis. MRI scan of the pelvis was done and Osteitis pubis was diagnosed. She was managed with bed rest, anti inflammatory medication and physiotherapy. Pain subsided over a period of ten days and patient was discharged subsequently. She currently engages in all her activities of daily living with no complaints. This case highlights the presence of this rare condition during the post partum period and its management.