TRAUMATIC SEPARATION OF THE SYMPHYSIS PUBIS DURING PREGNANCY - A CASE-REPORT

Objective: To present an unusual case of traumatic extensive separatio n of the symphysis pubis during pregnancy and rationale for mode of tr eatment. Design: Diagnosis for etiology of pubic and lower back pain f ollowing trauma in a 37-year-old woman in an advanced stage of pregnan cy. Methods: Physical examination and plain anterioposterior X-rays. C onclusion: Extensive traumatic separation of the symphysis pubis might result from a very forceful descent of the fetal head against the pel vic ring upon the mother's accidental falling. Propitious timing of a caesarian section permits the option of open reduction and internal fi xation.