Soloniuk Leonard J, Lum Joshua, Yeh Christopher, Baker Christopher, Pasca Ioana F
Department of Anesthesiology, Loma Linda University Medical Center, Loma Linda, USA.
Department of Anesthesiology and Perioperative Medicine, Riverside University Health System Medical Center, Moreno Valley, USA.
Cureus. 2024 Oct 18;16(10):e71779. doi: 10.7759/cureus.71779. eCollection 2024 Oct.
Pubic symphysis diastasis (PSD) is the widening of the pubic symphysis which can occur during the peripartum period. PSD commonly presents as pelvic pain with associated neuropathies rarely reported. In this report we describe the unique presentation of PSD with associated motor and sensory deficits in a 19-year-old postpartum patient. Two days following vaginal delivery, the patient complained of diffuse body pain, generalized weakness, and lower extremity paresthesia without any other neurological deficits. PSD was diagnosed by radiograph of the pelvis and her symptoms swiftly improved following conservative management of the diastasis. Further, we discuss the potential etiology of this patient's presentation as well as differential diagnosis with similar presentations.
耻骨联合分离（PSD）是指耻骨联合增宽，可发生在围产期。PSD通常表现为骨盆疼痛，很少有相关神经病变的报道。在本报告中，我们描述了一名19岁产后患者PSD伴有相关运动和感觉障碍的独特表现。阴道分娩两天后，患者主诉全身弥漫性疼痛、全身无力和下肢感觉异常，无任何其他神经功能缺损。通过骨盆X光片诊断为PSD，耻骨联合分离经保守治疗后，她的症状迅速改善。此外，我们讨论了该患者表现的潜在病因以及与类似表现的鉴别诊断。
