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Postpartum pubic symphysis diastasis resulting in a prepubic abscess and osteomyelitis
  1. Marianne Antoinette de Groot1,
  2. Eva Lisanne Brunner1,
  3. Arjen Kolk2 and
  4. Mireille Duindam1
  1. 1Obstetrics & Gynaecology, HagaZiekenhuis, Den Haag, Netherlands
  2. 2Orthopedic Surgery, HagaZiekenhuis, Den Haag, Netherlands
  1. Correspondence to Marianne Antoinette de Groot; mariannedegroot5{at}


Postpartum pubic symphysis diastasis (PSD) refers to an abnormal widening of the pubic symphysis after delivery. It is a rare and underdiagnosed condition that causes severe pain and can be complicated by osteomyelitis and abscess formation. This article reports a case of a para 4 woman in her 30s with postpartum PSD after vaginal delivery who presented with a prepubic abscess. Multimodal treatment consisted of incision and drainage, physiotherapy and prolonged antibiotic treatment.

  • Infections
  • Bone and joint infections
  • Obstetrics and gynaecology
  • Orthopaedics

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: MAdG, ELB, AK and MD. The following authors gave final approval of the manuscript: MAdG, ELB, AK and MD.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.