Abstract
A 62-year-old woman was examined because of chronic groin pain indicative of possible symphysitis pubis. She had a total hysterectomy 2.5 years earlier for squamous cell carcinoma of the cervix and underwent postoperative radiotherapy. A whole-body bone scan performed 1 year later revealed a sacral insufficiency fracture with instability reaction in the left sacroiliac joint but no evidence of bony metastatic disease or abnormal uptake in the symphysis pubis. The current whole-body bone scan did not show evidence of bony metastatic disease but did reveal marked focal osteoblastic activity and hypervascularity within the symphysis pubis in keeping with active osteitis pubis. A pelvic radiograph confirmed the typical radiographic features of radiation-induced osteitis pubis.
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