Pubic symphysis osteomyelitis with associated vesico-symphyseal fistula: a difficult diagnosis

Pubic symphysis osteomyelitis is an infectious complication that rarely arises in men who have undergone treatment for prostate cancer. This process may more rarely arise from a fistulous tract between the pubic symphysis and the urinary tract. In this case report, we discuss the most common clinica...

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Bibliographic Details
Published in:BMJ case reports 2021-09, Vol.14 (9), p.e244336
Main Authors: Wechsler, Brendan, Devries, Jonah, Yim, Douglas
Format: Article
Language:English
Subjects:
Antibiotics
Bladder
Blood clots
Bone marrow
Cancer therapies
Case Report
Case reports
Debridement
Fistula
Hematuria
Laboratories
Medical diagnosis
Pain
Patients
Pelvis
Prostate cancer
Radiation therapy
Urinalysis
Urinary tract infections
Urogenital system
Urology
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Description
Summary:Pubic symphysis osteomyelitis is an infectious complication that rarely arises in men who have undergone treatment for prostate cancer. This process may more rarely arise from a fistulous tract between the pubic symphysis and the urinary tract. In this case report, we discuss the most common clinical presentations and laboratory findings that lead to the diagnosis of this disease process, as well as the role of MRI and other imaging modalities in confirmation of the diagnosis. This case serves as a reminder to clinicians to have earlier consideration of pubic symphysis osteomyelitis in their differential diagnosis to reduce the risk of long-term complications associated with undertreatment.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-244336