Abstract

Back pain is one of the most frequent complaints during the last period of pregnancy. In a small group of patients the persistent pain during the postpartum period may be secondary to osteitis condensans ilii (OCI), and rarely can occur suddenly in the elderly. OKI is a rare benign pathology, low back or buttock pain should be suspected in patients coming from. Although the exact etiology is unknown, the most accepted hypothesis, get on the sacroiliac joint, depending on the mechanical stress, changes may develop in the iliac bone. In practice, It is important to recognise this disease as it can be potentially confused with similar causes of axial low back pain such as seronegative spondyloarthropathy, metastatic disease, or sacroilitis. Here two woman patients with low back pain and buttock pain secondary to unilateral an uncommon benign condition called osteitis condensans ilii is presented. This report emphasis the salient features and the differential diagnosis in diagnosing and managing this rare pathology.

Highlights

  • Osteitis condensans ilii (OCI) is an uncommon incidental finding on plain X-ray, characterized by sclerosis of predominantly the iliac bone adjacent to an otherwise normal sacroiliac joint

  • osteitis condensans ilii (OCI) is a rare benign pathology, low back or buttock pain should be suspected in patients coming from

  • The exact etiology is unknown, it is suggested that the increased mechanical stress across the sacroiliac joint, depending on the mechanical stress, changes may develop in the iliac bone

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Summary

Introduction

Osteitis condensans ilii (OCI) is an uncommon incidental finding on plain X-ray, characterized by sclerosis of predominantly the iliac bone adjacent to an otherwise normal sacroiliac joint. First described in 1926, OCI is seen almost exclusively in women. Reports suggested pregnancy and trauma as causative mechanisms [1]. It is generally regarded as a self-limiting phenomenon and is mostly asymptomatic, in a small group of patients may be develop the persistent pain secondary to osteitis condensans ilii (OCI). This case report highlights the salient features and discusses the differential diagnosis and management of this benign condition

Case Report
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