DOI: 10.36347/sjmcr.2021.v09i11.003

Pages: 1054-1058

Introduction: Osteomyelitis is the infection of bone that is characterized by progressive inflammatory destruction with appositioning of new bone. Pelvic osteomyelitis is often an unusual condition but accounts for approximately 1% to 11% cases of haematogenous osteomyelitis (2). The most common location is the ilium due its larger size and abundant blood supply and hematopoetic marrow. The average age of onset tends to be between 7 and 14 years, with a slight male preponderance (2). Mechanism of spread of iliac osteomyelitis can be hematogenous, contiguous or direct inoculation due surgical contamination or open fractures. Case report: Here is a 21 year old female health care worker student presented with pain in right Iliac region and difficulty in walking and inability to bear weight since last 18 months. She is a case of Chronic Osteomyelitis where Debridement was performed previously and now Patient also had recurred complaints of on and off Discharge from the site of previous Operated scar site. Patient was operated for Right Iliac Debridement and saucerization. Patient was mobilized and there was relief of symptoms. Conclusion: As is clear by our case here, osteomyelitis can recur even after the conservative Antibiotic and conventional chemotherapeutic regimen for TB along with surgical management. Surgical management of debridement and Saucerization gives better outcomes to perform activities of daily living, and also to decrease the disease load so as to provide symptomatic relief to the patient and helps in recovery. Surgical management acts as an adjuvant to the chemotherapy which obviously remains the mainstay of treatment in reducing the acute symptoms of the patient thus improving the quality of life.