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Right iliac bone pathological fracture mimicking acute appendicitis
Furkan Ufuk1, Muhammed Raşid Aykota2
1Department of Radiology, University of Pamukkale, Denizli, Turkey.
The American Journal of Emergency Medicine
|November 25, 2018
Summary
Simple bone cysts (SBCs), typically seen in children, can cause pathological fractures. This case highlights an SBC fracture in a young adult mimicking appendicitis.
Area of Science:
- Orthopedic Surgery
- Radiology
- Pediatric Pathology
Background:
- Simple bone cysts (SBCs), also known as unicameral bone cysts, are common benign, radiolucent bone lesions.
- While often asymptomatic and discovered incidentally, SBCs can present with pain, swelling, or pathological fractures.
Observation:
- A 22-year-old male presented with right lower quadrant pain.
- The pain was attributed to a pathological fracture of the right iliac bone caused by an SBC.
Findings:
- The SBC-related iliac bone fracture presented atypically, mimicking symptoms of acute appendicitis.
- This case underscores the potential for SBCs to manifest in ways that can be diagnostically challenging.
Implications:
- Recognizing SBCs as a cause of pathological fractures in young adults is crucial for accurate diagnosis.
- This presentation emphasizes the importance of considering bone pathology in the differential diagnosis of abdominal pain, even in younger populations.
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