Simultaneous Disruption of the Pubic Symphysis and Sacroiliac Joint during Vaginal Birth

الملخص EN

Background.

Puerperal diastasis of the pubic symphysis is a rare intrapartum complication.

This report presents the case of a woman who experienced synchronous pubic symphysis and sacroiliac joint separations induced by vaginal delivery.

Case.

A 32-year-old woman (gravida 2, parity 2) with an uncomplicated prenatal course developed acute-onset anterior pubic pain during vaginal delivery.

The pain persisted postpartum and was exacerbated by leg movement.

Physical and radiographic examinations showed a pubic symphyseal separation of 2.4 cm, accompanied by a 10 mm disruption of the left sacroiliac joint.

The patient was treated conservatively with pain-relief medication; bed rest, mostly in the left lateral decubitus position; closed reduction and application of a pelvic binder; use of a walker; and physical therapy.

Conclusion.

The patient responded to conservative management.

She was essentially pain-free and regained movement and ambulation by 12 weeks postpartum.