Exploring Diagnostic Complexities: A Case Report of Osteitis Condensans Ilii and Osteitis Pubis

Osteitis condensans ilii (OCI) is a benign etiology of lumbago, characterized by its self-limiting nature. Referred to as hyperostosis triangularis ilii, this condition is a rare occurrence, primarily manifesting in the female demographic. The etiology of this ailment remains undisclosed. Predominan...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e67543
Main Authors: Nimodia, Devyansh, Patil, Ravishankar, Parihar, Pratapsingh, Dudhe, Sakshi S, Bhangale, Paritosh N, Kotla, Rishitha
Format: Article
Language:English
Subjects:
Abdomen
Arthritis
Case reports
Environmental Health
Etiology
Hemoglobin
Higher education
Leukocytes
Magnetic resonance imaging
Medical diagnosis
Orthopedics
Osteoarthritis
Pain
Pathogenesis
Physical therapy
Postpartum period
Radiation
Radiology
Steroids
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Summary:Osteitis condensans ilii (OCI) is a benign etiology of lumbago, characterized by its self-limiting nature. Referred to as hyperostosis triangularis ilii, this condition is a rare occurrence, primarily manifesting in the female demographic. The etiology of this ailment remains undisclosed. Predominantly observed in the vicinity of the ileum, it may be erroneously interpreted as the involvement of the sacroiliac joint. Not characterized by inflammation, this disorder commonly emerges as a postpartum sequela in females. Osteitis pubis is a constrained inflammatory disorder characterized by pain affecting the pubic bones, joints, and associated tendons. This condition has been documented following instances of trauma, pelvic surgical procedures, childbirth, excessive athletic activity, and certain rheumatic ailments. We present a case of bilateral OCI with osteitis pubis in a 21-year-old female who presented with persistent lumbago as evidenced by radiological findings. Magnetic resonance imaging (MRI) corroborated the diagnostic procedures, indicating the presence of OCI with osteitis pubis. Sclerotic fibrosis exhibited a distinctly delineated and compact appearance on MRI, facilitating its differentiation from other pathologies linked to back pain. Regrettably, there exists no definitive remedy for these conditions, with lifestyle adjustments representing the sole measure that may aid in preventing disease recurrence.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.67543