Diastasis of the symphysis
pubis is a rare postpartum complication. We report two cases of symphysis
diastasis after dystocic delivery, in two patients who presented in the
postpartum period with functional impotence, pubalgia and acute urine
retention. A frontal radiograph of the pelvis confirmed the diagnosis, showing
a symphyseal separation of 12mm and 18mm. In our case, management
was mainly medical, with a favorable clinical outcome.
References
[1]
Achenani, M., Mezane, S., Kouach, J., El fazazi, H., Moussaoui Rahali, D. and Dehayni, M. (2017) Pubic Disjunction: Characteristics and Management Modalities. Journal Marocain des Sciences Médicales, 21, 14-18.
[2]
Snelling, F.G. (1870) Pelvic Symphysis Relaxation during Pregnancy and Parturition. Americain Journal of Obstétrics and Gynecology, 2, 561-596.
[3]
Benlbrikia, K., Aitbouhou, R., El Mangoub, F. and Moussaoui (2020) Symphyseal Disjunction after Dystocic Vaginal Delivery: A Case Report. International Journal of Advanced Research, 8, 57-59.
[4]
Kubitz, R.L. and Goodlin, R.C. (1986) Symptomatic Separation of the Pubic Symphysis. South Med, 79, 578-580.
[5]
Williams, J.W., Eastman, N.J. and Hellman, L.M. (1966) Coincidental Complications of Pregnancy. In: Williams, J.W., Ed., Obstetrics, Appleton-Century-Crofts, New York, 820-821.
[6]
Rakotomboahangy, T.M., Saïd, N., Jarison, L.V., Rasoanandrianina, B.S., Randaoharison, P.G., Andriamiandrisoa, B.A. and Randrianirina, J.B.S. (2016) Un cas de diastasis de la symphyse pubienne post-accouchement au complexe mère enfant du CHU Pzaga Androva Mahajanga. Journal malgache de gynécologie-obstétrique, 2, 4-5.
[7]
Meriem, L., Wafae, S., Sofia, J., Fatimazahra, F.A., Hakima, B., Hikmat, C. and Moulay, A.M. (2014) Symphyseal Disjunction after Dystocic Vaginal Delivery: A Case Report. Pan African Medical Journal, 17, 33.
[8]
Philipp, E. and Setchell, M. (1991) Bones, Joints and Ligaments of the Female Pelvis. In: Philipp, E. and Setchell, M., Eds., Scientific Foundations of Obstetrics and Gynaecology, Butterworth Heinemann, Oxford, 80.
[9]
Snow, R.E. and Neubert, A.G. (1997) Peripartum Pubic Symphysis Separation during Pregnancy: A Case Report. Obstetrical & Gynecological Survey, 52, 438-443.
https://doi.org/10.1097/00006254-199707000-00023
[10]
Culligan, P., Hill, S. and Heit, M. (2002) Pubic Symphysis Rupture during Vaginal Delivery Followed by Two Subsequent Uneventful Deliveries. Obstétrique et Gynécologie, 100, 1114-1117. https://doi.org/10.1016/S0029-7844(02)02155-5
[11]
Luger, E.J., Arbel, R. and Dekel, S. (1995) Traumatic Separation of Thrsymphysis Pubis during Pregnancy: A Case Report. The Journal of Trauma: Injury, Infection, and Critical Care, 38, 255-256. https://doi.org/10.1097/00005373-199502000-00021
[12]
Kharrazi, F.D., Rodgers, W.B., Kennedy, J.G. and Lhowe, D.W. (1997) Parturition-Induced Pelvic. Dislocation: A Report of Four Cases. Journal of Orthopaedic Trauma, 11, 277-281. https://doi.org/10.1097/00005131-199705000-00009
[13]
Scicluna, J.D., Alderson, J.D., Webster, V.J. and Whiting, P. (2004) Epidural Analgesiafor Acute Symphysis Pubis Dysfunction in the Second Trimester. International Journal of Obstetric Anesthesia, 13, 50-52.
https://doi.org/10.1016/j.ijoa.2003.08.006
[14]
Dermikale, I., Tecimel, O. and Bozkurt, N. (2008) BM. Separation of the Symphysis Pubis in a Spontaneous Vaginal Labour. Injury Extra, 39, 59-61.
https://doi.org/10.1016/j.injury.2007.05.027
