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Published on: March 2, 2020
Postpartum pubic symphysis diastasis resulting in a prepubic abscess and osteomyelitis
Marianne Antoinette de Groot1, Eva Lisanne Brunner2, Arjen Kolk3
1Obstetrics & Gynaecology, HagaZiekenhuis, Den Haag, Netherlands mariannedegroot5@gmail.com.
Insights
Postpartum pubic symphysis diastasis (PSD) is a rare condition causing severe pain after childbirth. This case highlights successful multimodal treatment for PSD with a prepubic abscess, involving drainage, physiotherapy, and antibiotics.
Area of Science:
- Obstetrics and Gynecology
- Surgical Case Reports
Background:
- Postpartum pubic symphysis diastasis (PSD) is an uncommon condition characterized by abnormal widening of the pubic symphysis post-delivery.
- It often presents with severe pain and can lead to serious complications such as osteomyelitis and abscess formation.
- PSD is frequently underdiagnosed, necessitating increased clinical awareness.
Abstract:
Postpartum pubic symphysis diastasis (PSD) refers to an abnormal widening of the pubic symphysis after delivery. It is a rare and underdiagnosed condition that causes severe pain and can be complicated by osteomyelitis and abscess formation. This article reports a case of a para 4 woman in her 30s with postpartum PSD after vaginal delivery who presented with a prepubic abscess. Multimodal treatment consisted of incision and drainage, physiotherapy and prolonged antibiotic treatment.

