Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210063
Brazilian Journal of Pain
Case Report

Sacroiliac infiltration in pregnant women guided by ultrasound. Case report

Infiltração sacroilíaca em gestante guiada por ultrassom. Relato de caso

Fábio Farias de-Aragão

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Abstract

BACKGROUND AND OBJECTIVES: Pregnancy-related pelvic pain (PRPP) is one of the most frequent causes of pain during pregnancy, which can result in significant physical disability. It is often undertreated, as it is a condition considered normal during pregnancy and there is fear that the treatment may cause changes in the pregnant woman and the fetus. The objective of this study was to report a case of PRPP, its treatment with sacroiliac joint infiltration guided by ultrasound and to perform a literature review.

CASE REPORT: Pregnant woman at 35 weeks of gestation, developing PRPP originating from the left sacroiliac joint. She underwent ultrasound-guided joint infiltration with 5mL of 0.5% ropivacaine and 20mg of methylprednisolone. The patient had no pain after the procedure and remained so after delivery.

CONCLUSION: Despite the few cases described in the literature, the use of pain intervention treatment in pregnant women seems safe and effective.

Keywords

Pelvic girdle pain, Pregnancy, Sacroiliac joint, Ultrasonography interventional

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor pélvica relacionada à gestação (DPRG) é uma das causas mais frequentes de dor, podendo causar incapacidade física significativa. É muitas vezes subtratada, pois é uma condição considerada normal durante a gestação e há receio de que o tratamento possa causar alterações na gestante e no feto. O objetivo deste estudo foi relatar o caso de gestante com DPRG; e o tratamento com infiltração de articulação sacroilíaca guiada por ultrassom e realizar revisão da literatura.

RELATO DO CASO: Gestante com 35 semanas, evoluindo com DPRG com origem em articulação sacroilíaca esquerda. Foi submetida à infiltração da articulação guiada por ultrassom com 5mL de ropivacaína a 0,5% e 20mg de metilprednisolona. A paciente apresentou ausência de dor após o procedimento, permanecendo assim após o parto.

CONCLUSÃO: Apesar de poucos casos descritos na literatura, a utilização do tratamento de intervenção em dor em gestantes parece seguro e eficaz.

Palavras-chave

Articulação sacroilíaca, Dor da cintura pélvica, Gravidez, Ultrassonografia de intervenção

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Submitted date:
04/13/2021

Accepted date:
08/16/2021

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