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A man with nontraumatic symphysiolysis.

S Schmidt-Olsen1, O H Jensen

  • 1Department of Medicine and Rheumatology, Hjorring Hospital, Denmark.

Acta Orthopaedica Scandinavica
|October 1, 1987
PubMed
Summary

Nontraumatic symphysiolysis, a rare condition, can cause unexplained lower abdominal pain in men. Radiographic evaluation of pubic symphysis stability is recommended for persistent symptoms.

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Area of Science:

  • Urology
  • Orthopedics

Background:

  • Nontraumatic symphysiolysis is a rare condition characterized by the disruption of the pubic symphysis without a history of trauma.
  • It can present with chronic, unexplained lower abdominal or pelvic pain, particularly in middle-aged men.

Observation:

  • This report details a case of nontraumatic symphysiolysis in a middle-aged male patient.
  • The patient experienced long-standing and unexplained discomfort in the lower abdomen.

Findings:

  • Radiographic examination, specifically with loading, is crucial for assessing the stability of the pubic symphysis.
  • This diagnostic approach can reveal subtle instability indicative of symphysiolysis.

Implications:

  • Early identification and diagnosis of nontraumatic symphysiolysis are important for appropriate management.
  • Considering symphysiolysis in the differential diagnosis of chronic lower abdominal pain in men can lead to timely intervention.
  • Further research into the etiology and optimal treatment of this condition is warranted.

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