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Case Reports in Medicine
Volume 2015, Article ID 690429, 3 pages
Case Report

A Rare Reason for Pelvic Pain in Pregnancy: Infectious Sacroiliitis

Department of Obstetrics and Gynecology, Ümraniye Medical and Research Hospital, 34000 İstanbul, Turkey

Received 22 January 2015; Accepted 29 April 2015

Academic Editor: Curtis W. Slipman

Copyright © 2015 Yasemin Cekmez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Although the incidence of pregnancy-associated sacroiliitis is low, it is associated with significant morbidity and mortality. Timely diagnosis of the disease is confusing due to its nonspecific clinical features. Case. A 28-year-old woman at 34 weeks of gestation with severe pain in her right buttock radiating down the backside of the right thigh was admitted to our hospital. White blood cell (WBC) count and C-reactive protein (CRP) were elevated. The pelvic magnetic resonance imaging (MRI) scan revealed right sacroiliitis. Conclusion. Infectious sacroiliitis should be considered as a differential diagnosis even in low-risk women who present with debilitating pelvic pain in pregnancy and medical treatment should not be delayed.