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Dyspareunia associated with a pelvic digit.

P Evangelista¹, G Evangelista¹

¹Scottsdale Healthcare-Osborne, Arizona, USA.

Journal of Surgical Case Reports

|June 28, 2014

Summary

A rare congenital anomaly, a pelvic digit, caused painful intercourse in a 57-year-old woman. Surgical removal of the bony growth from the ischium resolved the dyspareunia, highlighting the need for accurate pelvic lesion diagnosis.

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Area of Science:

Medical imaging
Orthopedics
Gynecologic surgery

Background:

Pelvic digits are rare congenital anomalies, often found incidentally.
Dyspareunia can significantly impact quality of life.

Purpose of the Study:

To report the first case of a pelvic digit causing dyspareunia.
To describe the diagnostic and surgical management of this rare condition.

Main Methods:

Case presentation of a 57-year-old female with dyspareunia.
Radiographic and magnetic resonance imaging (MRI) for diagnosis.
Surgical excision of the pelvic digit.

Main Results:

A stable bony excrescence (pelvic digit) was identified on the inferior left ischium.
The pelvic digit was confirmed to be impinging on the pelvic floor.
Surgical removal was successful with no complications.

Conclusions:

Pelvic digit is a rare cause of dyspareunia.
Accurate diagnosis of pelvic lesions is crucial for effective treatment.
Surgical intervention can successfully resolve symptoms associated with pelvic digits.

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