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Hips Do Not Lie: Atypical Pain From Peripartum Pubic Symphysis Diastasis
Leonard J Soloniuk1,2,3, Joshua Lum4, Christopher Yeh2
1Department of Anesthesiology, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|November 19, 2024
Summary
Pubic symphysis diastasis (PSD) is a rare postpartum complication causing pelvic pain and neurological deficits. This case highlights swift symptom improvement with conservative management for this widening of the pubic symphysis.
Area of Science:
- Obstetrics and Gynecology
- Neurology
- Radiology
Background:
- Pubic symphysis diastasis (PSD) is the separation of the pubic symphysis, often occurring during the peripartum period.
- While typically presenting as pelvic pain, associated neurological deficits are rarely reported.
Observation:
- A 19-year-old postpartum patient presented with diffuse body pain, generalized weakness, and lower extremity paresthesia two days after vaginal delivery.
- The patient exhibited no other neurological deficits.
- Radiographic imaging confirmed pubic symphysis diastasis.
Findings:
- The patient's symptoms, including motor and sensory deficits, significantly improved with conservative management of the pubic symphysis diastasis.
- This case underscores the potential for neurological involvement in PSD.
Implications:
- This case expands the understanding of pubic symphysis diastasis presentations beyond typical pelvic pain.
- It emphasizes the importance of considering PSD in postpartum patients with neurological symptoms.
- Further research into the etiology and differential diagnoses of PSD with neurological deficits is warranted.
Keywords:
labour epidural analgesianerve paresthesianulliparousobstetric anesthesiapubic symphysis diastasisMore Related Videos
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