Pyogenic sacroiliitis in the immediate postpartum period: A case report and review of literature

Abstract

Pyogenic sacroiliitis in the immediate postpartum period is an extremely rare orthopaedic emergency which requires prompt diagnosis and treatment to avoid permanent destruction of the sacroiliac joints. Herein we report a case of pyogenic sacroiliitis in the immediate postpartum period of a 25-year old woman presenting with acute onset severe lower back pain, buttock pain and inability to move her right lower limb. Prompt suspicion and imaging facilitated the diagnosis of pyogenic sacroiliitis for which she was treated with antibiotics and her pelvic joints were supported with a corset around the hip and traction applied to the right leg.