Abstract

N. Oubel*, I. Chanaa, A. Hassine, D. Houjaj, Pr Alami, Pr Tazi, Pr Filali, Pr Bezad

ABSTRACT

Symphyseal disjunction is a rare condition, defined by an enlargement at the level of the inter-symphyseal joint estimated to be greater than 10 mm. This condition requires specialized in cases of severe, incapacitating pain. We report the case of a patient with intense pelvic pain and impotence of both lower limbs on day 2 of a dystocic delivery. clinical examination revealed exquisite pain on palpation of the symphysis, The diagnosis was confirmed by an x-ray of the pelvis, which showed a enlargement of the pubic symphysis by 15 mm, therapeutic management consisted of preventive anticoagulation and analgesic treatment with paracetamol and non-steroidal antiinflammatory drugs. The evolution was favorable. Through our case, we will insist on the characteristics of this pathology, in particular its prognosis, which will enable the practitioner to understand the importance of early diagnosis and management of this entity, which should be evoked when pelvic pain during pregnancy or postpartum.