OSTEITIS PUBIS IN AN ELDERY PATIENT: A CASE REPORT
NICHITEAN RALUCA *
Clinical County Emergency Hospital – Rheumatology Clinic, Cluj-Napoca, Romania
REDNIC SIMONA
Clinical County Emergency Hospital – Rheumatology Clinic, Cluj-Napoca, Romania and Department of Rheumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
BARSAN CRISTIAN
Clinical County Emergency Hospital – Radiology Clinic, Cluj-Napoca, Romania
*Author to whom correspondence should be addressed.
Abstract
Osteitis pubis is defined as an idiopathic, inflammatory disease of the pubic symphysis and surrounding structures. Osteitis pubis most commonly occurs among athletes but can also occur among non-athletes as a result of any pelvic stress (eg, trauma, pelvic surgery, pregnancy). We present the case of an eldery man with a history of urological interventions who developed pubic pain afterwards. Laboratory examination showed raised inflammatory variables but no leukocytosis. The MRI described bone marrow edema in the pubic ramus and inflammation in the pubic symphysis. Medical management included rest, analgesic and anti-inflammatory drugs (NSAIDs and steroids).
Keywords: Osteitis pubis, bone edema, suprapubic pain