case_images: PMC11334124_01
case_images: Pelvis radiography showing osteolysis of the left side of the pubic symphysis (black arrow).
case_images: 10.1177_2050313X241275022-fig1.jpg
case_images: PMC11334124_01_10.1177_2050313X241275022-fig1.jpg
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case_images: The pelvis radiography (Figure 1) showed osteolysis of the left side of the pubic symphysis.
case_images: Coronal section of pelvis MRI showing significant bilateral bone lysis and destruction of the edges of the pubic symphysis in high signal T2 (a, white arrow) with important enhancement in T1 fat-saturated post-contrast sequence (b, black arrow).. MRI: magnetic resonance imagery.
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case_images: PMC11334124_01_10.1177_2050313X241275022-fig2.jpg
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case_images: T2 (Figure 2(a)) with enhancement after gadolinium (Figure 2(b)), in addition to a bilobed thick-walled retro pubic pelvic collection in hypo T1, hyper T2 with enhancement after gadolinium injection (Figure 3(a)). The MRI also showed evidence of an ascending blind fistulous path originating opposite the pubic symphysis and extending over 23 mm (Figure 3(b)) with a secondary orifice located subcutaneously opposite the rectus abdominis muscles.
case_images: Coronal section of pelvis MRI T1 fat-saturated post-contrast showing a bilobed, thick-walled retro pelvic collection (a) and an ascending blind fistulous path originating opposite the pubic symphysis and extending over 23 mm (b) with a secondary orifice located subcutaneously opposite the rectus abdominis muscles.. MRI: magnetic resonance imagery.
case_images: 10.1177_2050313X241275022-fig3.jpg
case_images: PMC11334124_01_10.1177_2050313X241275022-fig3.jpg
case_images: fig3-2050313X241275022
case_images: T2 (Figure 2(a)) with enhancement after gadolinium (Figure 2(b)), in addition to a bilobed thick-walled retro pubic pelvic collection in hypo T1, hyper T2 with enhancement after gadolinium injection (Figure 3(a)). The MRI also showed evidence of an ascending blind fistulous path originating opposite the pubic symphysis and extending over 23 mm (Figure 3(b)) with a secondary orifice located subcutaneously opposite the rectus abdominis muscles.
case_images: Bone scintigraphy revealing double infectious location: the pubic symphysis and the first right rib.
case_images: 10.1177_2050313X241275022-fig4.jpg
case_images: PMC11334124_01_10.1177_2050313X241275022-fig4.jpg
case_images: fig4-2050313X241275022
case_images: A bone scintigraphy (Figure 4) was performed in search of other septic locations, which resulted in the discovery of a double infectious location: the pubic symphysis and the first right rib.