• Miguel Pishnamaz, Richard Sellei, Roman Pfeifer, Philipp Lichte, Hans C Pape, and Philipp Kobbe.
• Department of Orthopedic and Trauma Surgery, University of Aachen Medical Center, 30 Pauwels Street, 52074 Aachen, Germany. mpishnamaz@ukaachen.de.
• J Med Case Rep. 2012 Jan 1;6:98.

IntroductionSacral stress fractures are a rare but well known cause of low back pain. This type of fracture has also been observed as a postpartum complication. To date, no cases of intrapartum sacral stress fractures have been described in the literature.Case PresentationWe report the case of a 26-year-old Caucasian European primigravid patient (30 weeks and two days of gestation) who presented to our outpatient clinic with severe low back pain that had started after a downhill walk 14 days previously. She had no history of trauma. A magnetic resonance imaging scan revealed a non-displaced stress fracture of the right lateral mass of her sacrum. Following her decision to opt for non-operative treatment, our patient received an epidural catheter for pain control. The remaining course of her pregnancy was uneventful and our patient gave birth to a healthy child by normal vaginal delivery.ConclusionsWe conclude that a sacral stress fracture must be considered as a possible cause of low back pain during pregnancy.

1 keywords...

hide…