Groin pain in the postradiotherapy pelvis: have you considered osteomyelitis?

Aryeh Dworkin, Ehsan Riaz, Nikhil Vasdev

Research output: Contribution to journalArticlepeer-review


A man in his 80s presented to the emergency department with a 5-week history of lower abdominal and groin pain which had substantially affected his mobility. He practised intermittent self-catheterisation following radiotherapy for prostate cancer. Multiple suggestive features led to initial treatment for a urinary tract infection (UTI). However, CT imaging revealed pubic symphysis osteomyelitis with associated abdominal wall abscesses and fistulation to the prostate. This case illustrates the need to consider osteomyelitis as a differential for pain in previously irradiated body areas and to beware of diagnosing UTI where pain affects mobility.

Original languageEnglish
JournalBMJ Case Reports
Issue number6
Publication statusPublished - 8 Jun 2022
Externally publishedYes


  • Groin
  • Humans
  • Male
  • Osteomyelitis/diagnosis
  • Pelvic Pain/etiology
  • Pelvis
  • Pubic Symphysis/diagnostic imaging


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