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Chronic osteomyelitis of ilium presenting as an expansile mutiloculated lytic lesion - A case report
Kopuri Ravi Kiran1, Y Poornachandra Rao2, V Somnadham3
1Asst. Professor, Department of Orthopaedics, Dr.PSIMS & RF, Chinoutpalli, Gannavaram 521101, AP, India.
Abstract:
Chronic iliac osteomyelitis classically presents radiologically as an ill defined radiolucent lesion with moth eaten appearance along with periosteal reaction and sequestrum formation. Our case report presents a rare radiological picture of iliac bone osteomyelitis in the form of an expansile mutiloculated lytic lesion.
Insights
Chronic iliac osteomyelitis typically shows ill-defined lesions. This case highlights a rare presentation of iliac bone osteomyelitis with an expansile, multiloculated lytic lesion on imaging.
Area of Science:
- Orthopedic Surgery
- Radiology
- Infectious Diseases
Background:
- Chronic osteomyelitis is a bone infection that can be challenging to diagnose and treat.
- Iliac bone osteomyelitis, specifically, can present with varied radiological findings.
Purpose of the Study:
- To report a rare radiological presentation of chronic iliac osteomyelitis.
- To contrast this presentation with the classical radiological signs.
Main Methods:
- Case report detailing a patient with chronic iliac osteomyelitis.
- Radiological imaging analysis focusing on lesion characteristics.
Main Results:
- The patient presented with an expansile, multiloculated lytic lesion.
- This finding differs from the typical ill-defined, moth-eaten appearance, periosteal reaction, and sequestrum.
Conclusions:
- Chronic iliac osteomyelitis can manifest with atypical radiological features.
- Awareness of rare presentations is crucial for accurate diagnosis and timely management.