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Primary Aneurysmal Bone Cyst in the Iliac Bone: A Case Report.
Mantu Jain1, Sujit Kumar Tripathy1, Narayan Prasad Mishra1
1Department of Orthopaedics, AIIMS, Bhubaneswar, Odisha, India.
Journal of Orthopaedic Case Reports
|January 31, 2024
Summary
Aneurysmal bone cysts (ABCs) are rare benign bone tumors. This case highlights successful surgical management of a rare pelvic ABC in a young female patient.
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Radiology
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign, expansile, osteolytic bone lesions.
- While common in long bones and the spine, pelvic ABCs are infrequent.
Observation:
- A 12-year-old female presented with a 6-month history of left pelvic pain.
- Radiological imaging revealed an expansile, lytic lesion of the ilium with multiple fluid levels on MRI.
- Initial biopsy confirmed the diagnosis of ABC.
Findings:
- The patient underwent surgical management including curettage, bone grafting, and electrocauterization/chemical cauterization.
- Post-operative follow-up at 1 year showed complete recovery without recurrence.
Implications:
- This case underscores the importance of considering ABCs in the differential diagnosis of pelvic lytic lesions.
- Surgical curettage and bone grafting represent an effective treatment strategy for pelvic ABCs.
- Early diagnosis and intervention are crucial for favorable outcomes in pediatric patients with ABCs.
