Harth M, Bourne R B
Can J Surg. 1981 Jul;24(4):407-9.
Osteitis pubis is a well known complication of urologic and gynecologic procedures but its association with herniorrhaphy is poorly documented in the literature. A 55-year-old man underwent herniorrhaphy for a direct inguinal hernia, followed in 48 hours by herniorrhaphy for a femoral hernia. One week later he complained of pain in the pubic area and over the ischial tuberosities, had intermittent fever and an elevated erythrocyte sedimentation rate. Roentgenograms showed changes typical of osteitis pubis with widening of the symphysis pubis, loss of definition of the adjacent cortical surfaces and involvement of the ischial tuberosities. There ws no evidence of infection in the urinary tract or elsewhere. The patient was treated with indomethacin and showed clinical and radiologic improvement over the next 6 months. It is possible that in this case two operative interventions involving structures inserting into the pubic bones and performed within a short time of each other exposed this patient to an unusual complication.
耻骨炎是泌尿外科和妇科手术中一种众所周知的并发症，但其与疝修补术的关联在文献中记载甚少。一名55岁男性因直疝接受疝修补术，48小时后又因股疝接受疝修补术。一周后，他主诉耻骨区及坐骨结节疼痛，伴有间歇性发热，红细胞沉降率升高。X线片显示耻骨炎的典型改变，耻骨联合增宽，相邻皮质表面界限不清，坐骨结节受累。尿路或其他部位无感染迹象。患者接受吲哚美辛治疗，在接下来的6个月里临床和影像学表现均有改善。在这种情况下，可能是两次涉及插入耻骨结构的手术干预且时间间隔较短，使该患者遭遇了一种罕见的并发症。
