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Case Report
 
Acute septic arthritis of the right sacroiliac joint following uncomplicated spontaneous vaginal delivery at term: A case report
Osama Eskandar1, William Carlino2
1FRCOG - MFSRH, Departments of Obstetrics and Gynaecology, North Devon District Hospital, Barnstaple, Devon, EX31 4JB.
2Department of Obstetrics and Gynaecology, North Devon District Hospital, Barnstaple, Devon, EX31 4JB.

Article ID: 100021Z08OE2017
doi:10.5348/Z08-2017-21-CR-1

Address correspondence to:
Mr. Osama Eskandar
FRCOG - MFSRH, Departments of Obstetrics and Gynaecology
North Devon District Hospital
Barnstaple
Devon, EX31 4JB

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How to cite this article:
Eskandar O, Carlino W. Acute septic arthritis of the right sacroiliac joint following uncomplicated spontaneous vaginal delivery at term: A case report. J Case Rep Images Gynecol Obstet 2017;3:1–4.


Abstract
Introduction: We present a case of acute septic arthritis of the right sacroiliac joint following uncomplicated spontaneous vaginal delivery at term. Postpartum acute arthritis has not been reported adequately in literature.
Case Report: A 34-year-old female presented with back pain, pelvic pain, and difficulty in walking seven days postnatally. A definitive diagnosis of primary right sacroiliac joint septic arthritis was eventually made by MRI. The patient had 12 days of intravenous antibiotics. During this time, she slowly begun mobilizing again, firstly with the aid of crutches and then independently.
Conclusion: There is a long list of differential diagnosis of postpartum pelvic and back pain which makes diagnosis of the etiological factor difficult. However, when reviewing a postpartum patient with low back pain or posterior pelvic pain clinicians should consider postpartum sacroiliitis to initiate prompt management and avoid missing a potentially life-threatening diagnosis.

Keywords: Low back pain, Postnatal acute septic sacroiliac arthritis, Posterior pelvic pain, Right sacroiliac joint


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Author Contributions
Osama Eskandar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
William Carlino – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Osama Eskandar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.