@article{oai:tsukuba.repo.nii.ac.jp:00044529,
 author = {榎本, 剛史 and 大原, 佑介 and 小田, 竜也 and 大河内, 信弘 and Kitaguchi, Daichi and Enomoto, Tsuyoshi and Ohara, Yusuke and Oda, Tatsuya and Ohkohchi, Nobuhiro},
 journal = {International journal of surgery case reports},
 month = {},
 note = {Introduction
Pubic osteomyelitis is a rare type of suppurative osteomyelitis. Early diagnosis of pubic osteomyelitis is difficult, and prolonged inflammation results in progressive bone degradation, severe pelvic pain and a wide-based gait.

Presentation of case
We report the case of an 82-year-old woman who was admitted to a previous hospital with severe abdominal pain caused by a perforated colonic diverticulum with fecal peritonitis. She underwent an emergency operation and a postoperative wound infection occurred. Despite treatment of the infection, purulent exudate was discharged for three months and she gradually showed a gait disturbance.
CT and MRI revealed that pubic symphysis showed osteolysis and there was severe inflammation around the wound. After administration of appropriate antibiotics, an operation, which included the removal of a fistula, debridement of sequestra and lavage of the abscess cavity, was performed. The inflammation improved promptly after the operation, and the patient was discharged on postoperative day 27 without any complications.

Discussion
Pubic osteomyelitis does not show the findings of typical acute suppurative osteomyelitis and hematological findings are nonspecific. It is important for early diagnosis to consider the risk factors of pubic osteomyelitis during examination.

Conclusion
We would emphasize that a definitive diagnosis by CT and MRI and appropriate antimicrobial therapy combined with surgical treatment are important for pubic osteomyelitis.},
 pages = {50--52},
 title = {Pubic osteomyelitis after surgery for perforated colonic diverticulitis with fecal peritonitis: A case report},
 volume = {38},
 year = {2017}
}