Osteitis pubis: an important pain generator in women with lower pelvic or abdominal pain: a case report and literature review.

BACKGROUND: Osteitis pubis is an aseptic painful inflammatory condition of the symphysis pubis, surrounding muscles, and tendons. It was first described in 1924 in patients who had suprapubic surgery. Inflammation and trauma have been attributed to be causative factors in previous individual case reports and small case series. Osteitis pubis is frequently misdiagnosed and is difficult to treat once it becomes chronic. RESULTS AND CONCLUSION: Osteitis pubis is often a missed entity although pelvic x-ray, scintigraphy, or a diagnostic/therapeutic steroid and anesthetic injection into the symphyseal plate can be implemented to diagnose and treat it.