Medical Must-See: Pregnant patient’s diagnosis a rare pain in the buttÂ
A combination of psoas haematoma and infectious sacroiliitis made for a complicated diagnosis.
Identifying the rare cause of a pregnant patient’s back and buttock pain was, well, a pain in the butt for her doctors.
The woman, carrying twins, presented at 29 weeks’ gestation because of her short cervix and increased preterm delivery risk, but she also complained of pain in her lower back and right buttock that was radiating to her right thigh.
Doctors interpreted the 31-year-old’s pain as sciatica and prescribed tramadol and ibuprofen, as well as daily prophylactic aspirin and enoxaparin until delivery.
At 32 weeks, the patient gave birth following a premature membrane rupture, without any maternal complications, according to the Cureus case report.
