ArticleRadiology case reports2026
Spontaneous septic arthritis of the pubic symphysis mimicking acute abdomen: Diagnostic value of MRI.
Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Septic arthritis of the pubic symphysis is an uncommon and frequently overlooked condition, typically occurring as a postoperative complication. Spontaneous cases without identifiable risk factors are exceptionally rare and may present with misleading clinical features, often mimicking acute abdominal, gynecological, urological, or hip-related conditions. We report the case of a 59-year-old woman with no prior medical or surgical history who presented with acute febrile hypogastric and suprapubic pain. Initial clinical and laboratory findings suggested a lower abdominal or pelvic inflammatory process, leading to diagnostic uncertainty. Computed tomography revealed inflammatory changes centered on the pubic symphysis, with symphyseal erosions and a retropubic/prevesical fluid collection. Magnetic resonance imaging further characterized the lesion, demonstrating bone marrow edema, soft tissue inflammatory involvement, and an ill-defined fluid collection with surrounding enhancement and caudal extension toward the proximal adductor and perineal soft tissues. Ultrasound-guided aspiration confirmed the diagnosis, yielding approximately 13 mL of purulent material positive for
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