Disjunction of the symphysis pubis after vaginal delivery: Case report.
Dystoic delivery
Symphyseal disjunction
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
05
09
2022
revised:
26
06
2023
accepted:
28
06
2023
medline:
7
7
2023
pubmed:
7
7
2023
entrez:
6
7
2023
Statut:
ppublish
Résumé
Pubic joint enlargement of more than 10 mm is diagnosed and defined as diastasis of the pubic symphysis and is considered a complication of vaginal delivery or pregnancy. As it is a rare pathology. We report a patient with severe pelvic pain with impotence of the left IM at day 1 of a dystocic delivery. The clinical examination revealed a sharp pain on palpation of the pubic symphysis. The diagnosis was confirmed by a frontal radiology of the pelvis showing a 30 mm enlargement of the pubic symphysis. The therapeutic management consisted in a preventive unloading and anti-coagulation with an analgesic treatment based on paracetamol and NSAID. The evolution was favorable. The therapeutic management consisted of a discharge and preventive anti-coagulation with an analgesic treatment based on paracetamol and NSAID. The evolution was favorable. The initial early management is medical with the association of oral analgesia, local infiltration, rest and physiotherapy. Pelvic bandaging and surgical treatment are reserved for cases of important diastasis and must be associated with preventive anticoagulation in case of immobilization.
Identifiants
pubmed: 37413756
pii: S2210-2612(23)00594-1
doi: 10.1016/j.ijscr.2023.108465
pmc: PMC10382807
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
108465Informations de copyright
Copyright © 2023. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
Conflict of interest statement The authors declare having no conflicts of interest for this article
Références
Acta Obstet Gynecol Scand. 2001 Jun;80(6):505-10
pubmed: 11380285
Obstet Gynecol Surv. 1997 Jul;52(7):438-43
pubmed: 9219278
Acta Biomed. 2005 Apr;76(1):49-52
pubmed: 16116827
Acta Obstet Gynecol Scand. 1999 Feb;78(2):111-5
pubmed: 10023872
Int J Surg. 2020 Dec;84:226-230
pubmed: 33181358
J Trauma. 1995 Feb;38(2):255-6
pubmed: 7869448
Gynecol Obstet Fertil. 2004 May;32(5):420-6
pubmed: 15177214
J Bone Joint Surg Am. 1995 Sep;77(9):1465
pubmed: 7673299
Int J Obstet Anesth. 2004 Jan;13(1):50-2
pubmed: 15321442
Obstet Gynecol. 2002 Nov;100(5 Pt 2):1114-7
pubmed: 12423827
J R Soc Med. 1995 Jan;88(1):28-30
pubmed: 7884766
South Med J. 1986 May;79(5):578-80
pubmed: 3704724