Department of Trauma and Orthopaedic Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
J Perioper Pract. 2022 Oct;32(10):260-264. doi: 10.1177/17504589211034295. Epub 2022 Mar 24.
We describe the case of a young 27-year-old Caucasian female who presented in the third trimester of her first pregnancy with sudden and severe suprapubic and left-sided hip pain without history of trauma. She was eventually diagnosed with two insufficiency fractures of the pelvis. The underlying diagnosis was pregnancy-related osteoporosis. Her baby was delivered successfully at term, with an elective caesarean section. The diagnosis was eventually made using a magnetic resonance imaging scan. Pregnancy-related osteoporosis is relatively rare, and cases of patients presenting with insufficiency fractures of this condition are rarer still. Our case raises the importance of considering this diagnosis in females in the later stages of pregnancy, with severe sudden hip or pelvis pain. The patient gave informed written consent for the publication of this case.
我们描述了一个年轻的 27 岁白人女性病例，她在第一次怀孕的晚期突然出现严重的耻骨和左侧髋部疼痛，无外伤史。最终诊断为骨盆两处骨不连。潜在的诊断是妊娠相关性骨质疏松症。她的宝宝足月顺产，通过择期剖宫产娩出。最终通过磁共振成像扫描做出诊断。妊娠相关性骨质疏松症相对罕见，且此类患者发生骨不连的情况更为罕见。我们的病例提示在妊娠晚期出现严重突发性髋部或骨盆疼痛的女性中，应考虑这一诊断。患者知情同意并签署了发表此病例的书面同意书。
