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Primary Aneurysmal Bone Cyst in the Iliac Bone: A Case Report
Chae Geun Kim1, Seok Hyun Kweon2
1Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea.
Hip & Pelvis
|August 19, 2016
Summary
A rare pelvic aneurysmal bone cyst in a child was successfully treated with curettage and bone grafting. This approach offered a durable solution, preventing recurrence of the aggressive vascular lesion.
Area of Science:
- Pediatric Orthopedics
- Skeletal Oncology
Background:
- Aneurysmal bone cysts (ABCs) are rare, expansile, and potentially aggressive vascular lesions.
- Pelvic ABCs in children present unique management challenges due to their location and potential for recurrence.
Observation:
- A 12-year-old female presented with a large, symptomatic, expansile lytic lesion of the right iliac bone.
- Imaging revealed a significant aggressive vascular lesion requiring surgical intervention.
Findings:
- The patient underwent intralesional curettage, electrocauterization, chemical sclerotherapy, and allogeneic bone grafting.
- Post-surgery follow-up at 3.5 years showed no evidence of recurrence.
Implications:
- Curettage combined with allogeneic bone grafting is an effective treatment for pediatric pelvic aneurysmal bone cysts.
- This surgical strategy can achieve long-term, recurrence-free outcomes in challenging cases.
