Postpartum retroperitoneal fasciitis: A case report and review of literature

Hiroshi Yagi, Kotaro Fukushima, Shoji Satoh, Yasuharu Nakashima, Masahiro Nozaki, Hitoo Nakano

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

We present a case of a postpartum female with iliopsoas fasciitis in the puerperium. Two days after a spontaneous vaginal delivery at 38 weeks without any complications, the patient complained of pain in the left thigh and hip, associated with a temperature of 38° C. Consequently, she could not walk 4 days after delivery and her body temperature had increased to 39°C. Extreme left flank pain and tenderness in the left pelvic wall were prominent, whereas the tenderness in the pelvis was moderate. Magnetic resonance imaging led us to diagnose iliopsoas fasciitis. This was complicated by sepsis but improved after a protracted antibiotic treatment without any surgical intervention. A literature review revealed that serious complications, including sepsis or permanent functional disturbance, could arise although retroperitoneal fasciitis and/or abscesses are very rare after vaginal delivery. Iliopsoas fasciitis could be considered when patients complain of extreme pain in the pelvic wall, sacroiliac joint region, or thigh-symptoms that are uncommon in uncomplicated endometritis.

Original languageEnglish
Pages (from-to)109-113
Number of pages5
JournalAmerican Journal of Perinatology
Volume22
Issue number2
DOIs
Publication statusPublished - Feb 1 2005

Fingerprint

Fasciitis
Postpartum Period
Thigh
Sepsis
Flank Pain
Sacroiliac Joint
Endometritis
Pelvic Pain
Body Temperature
Pelvis
Abscess
Hip
Magnetic Resonance Imaging
Anti-Bacterial Agents
Pain
Temperature

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

Postpartum retroperitoneal fasciitis : A case report and review of literature. / Yagi, Hiroshi; Fukushima, Kotaro; Satoh, Shoji; Nakashima, Yasuharu; Nozaki, Masahiro; Nakano, Hitoo.

In: American Journal of Perinatology, Vol. 22, No. 2, 01.02.2005, p. 109-113.

Research output: Contribution to journalReview article

Yagi, Hiroshi ; Fukushima, Kotaro ; Satoh, Shoji ; Nakashima, Yasuharu ; Nozaki, Masahiro ; Nakano, Hitoo. / Postpartum retroperitoneal fasciitis : A case report and review of literature. In: American Journal of Perinatology. 2005 ; Vol. 22, No. 2. pp. 109-113.
@article{1942d709b1d24bce81bcd087f753a129,
title = "Postpartum retroperitoneal fasciitis: A case report and review of literature",
abstract = "We present a case of a postpartum female with iliopsoas fasciitis in the puerperium. Two days after a spontaneous vaginal delivery at 38 weeks without any complications, the patient complained of pain in the left thigh and hip, associated with a temperature of 38° C. Consequently, she could not walk 4 days after delivery and her body temperature had increased to 39°C. Extreme left flank pain and tenderness in the left pelvic wall were prominent, whereas the tenderness in the pelvis was moderate. Magnetic resonance imaging led us to diagnose iliopsoas fasciitis. This was complicated by sepsis but improved after a protracted antibiotic treatment without any surgical intervention. A literature review revealed that serious complications, including sepsis or permanent functional disturbance, could arise although retroperitoneal fasciitis and/or abscesses are very rare after vaginal delivery. Iliopsoas fasciitis could be considered when patients complain of extreme pain in the pelvic wall, sacroiliac joint region, or thigh-symptoms that are uncommon in uncomplicated endometritis.",
author = "Hiroshi Yagi and Kotaro Fukushima and Shoji Satoh and Yasuharu Nakashima and Masahiro Nozaki and Hitoo Nakano",
year = "2005",
month = "2",
day = "1",
doi = "10.1055/s-2005-861573",
language = "English",
volume = "22",
pages = "109--113",
journal = "American Journal of Perinatology",
issn = "0735-1631",
publisher = "Thieme Medical Publishers",
number = "2",

}

TY - JOUR

T1 - Postpartum retroperitoneal fasciitis

T2 - A case report and review of literature

AU - Yagi, Hiroshi

AU - Fukushima, Kotaro

AU - Satoh, Shoji

AU - Nakashima, Yasuharu

AU - Nozaki, Masahiro

AU - Nakano, Hitoo

PY - 2005/2/1

Y1 - 2005/2/1

N2 - We present a case of a postpartum female with iliopsoas fasciitis in the puerperium. Two days after a spontaneous vaginal delivery at 38 weeks without any complications, the patient complained of pain in the left thigh and hip, associated with a temperature of 38° C. Consequently, she could not walk 4 days after delivery and her body temperature had increased to 39°C. Extreme left flank pain and tenderness in the left pelvic wall were prominent, whereas the tenderness in the pelvis was moderate. Magnetic resonance imaging led us to diagnose iliopsoas fasciitis. This was complicated by sepsis but improved after a protracted antibiotic treatment without any surgical intervention. A literature review revealed that serious complications, including sepsis or permanent functional disturbance, could arise although retroperitoneal fasciitis and/or abscesses are very rare after vaginal delivery. Iliopsoas fasciitis could be considered when patients complain of extreme pain in the pelvic wall, sacroiliac joint region, or thigh-symptoms that are uncommon in uncomplicated endometritis.

AB - We present a case of a postpartum female with iliopsoas fasciitis in the puerperium. Two days after a spontaneous vaginal delivery at 38 weeks without any complications, the patient complained of pain in the left thigh and hip, associated with a temperature of 38° C. Consequently, she could not walk 4 days after delivery and her body temperature had increased to 39°C. Extreme left flank pain and tenderness in the left pelvic wall were prominent, whereas the tenderness in the pelvis was moderate. Magnetic resonance imaging led us to diagnose iliopsoas fasciitis. This was complicated by sepsis but improved after a protracted antibiotic treatment without any surgical intervention. A literature review revealed that serious complications, including sepsis or permanent functional disturbance, could arise although retroperitoneal fasciitis and/or abscesses are very rare after vaginal delivery. Iliopsoas fasciitis could be considered when patients complain of extreme pain in the pelvic wall, sacroiliac joint region, or thigh-symptoms that are uncommon in uncomplicated endometritis.

UR - http://www.scopus.com/inward/record.url?scp=14644431023&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=14644431023&partnerID=8YFLogxK

U2 - 10.1055/s-2005-861573

DO - 10.1055/s-2005-861573

M3 - Review article

C2 - 15731991

AN - SCOPUS:14644431023

VL - 22

SP - 109

EP - 113

JO - American Journal of Perinatology

JF - American Journal of Perinatology

SN - 0735-1631

IS - 2

ER -