Medical College, Aga Khan University Hospital. Karachi
Department of Medicine, Aga Khan University Hospital, Karachi
J Ayub Med Coll Abbottabad. 2021 Jan-Mar;33(1):169-171.
Lower back pain is a common complaint in pregnancy which often impacts quality of life. An uncommon aetiology of lower back pain is Osteitis Condensans Ilii (OCI), a condition characterized by a triangular area of sclerosis of ilium adjacent to the sacroiliac joint. It is thought to be associated with pregnancy, but also affects non-pregnant women and men. We discuss a case of a 23-year-old woman, who presented during the 8th month of her first pregnancy with debilitating pain in her lower back. Several differential diagnoses were explored, including autoimmune aetiologies and pregnancy associated osteoporosis, before OCI was diagnosed via an MRI. The patient was managed conservatively with intravenous analgesics and physiotherapy, after which her pain abated gradually. On her 3rd day of admission, the patient went into premature labour and gave birth to a healthy child via vaginal delivery. Her pain resolved completely within days of delivering her baby.
下背痛是妊娠中常见的主诉，常影响生活质量。下背痛不常见的病因是骨化性骨炎（OCI），其特征为邻近荐髂关节的三角形髂骨硬化区。OCI 被认为与妊娠有关，但也影响非妊娠妇女和男性。我们讨论了一位 23 岁女性的病例，她在第一次妊娠的第 8 个月出现严重的下背痛。在通过 MRI 诊断为 OCI 之前，探讨了几种鉴别诊断，包括自身免疫病因和与妊娠相关的骨质疏松症。该患者接受了静脉内镇痛和物理治疗的保守治疗，此后其疼痛逐渐缓解。入院第 3 天，该患者早产，并经阴道分娩了一个健康的婴儿。她在分娩后数天内完全缓解了疼痛。
