Background acetabular aneurysmal bone cyst in a 7 year-old: Presentation of a case

The bone cyst is a rare benign tumour that usually develops in childhood. There are several treatment options, however when it is located within the pelvis treatment is complex. A 7 year-old patient who presented with 3 months of right hip pain and limping. The initial radiograph showed a discrete p...

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Published inRevista española de cirugía ortopédica y traumatología Vol. 60; no. 4; pp. 256 - 259
Main Authors Saus Milán, N., Pino Almero, L., Mínguez Rey, M.F.
Format Journal Article
LanguageEnglish
Published Spain Elsevier España, S.L.U 01.07.2016
Subjects
Acetabulum - diagnostic imaging
Acetabulum - pathology
Aneurysmal bone cyst
Biopsy
Bone Cysts, Aneurysmal - diagnostic imaging
Bone Cysts, Aneurysmal - pathology
Bone Cysts, Aneurysmal - therapy
Child
Embolisation
Embolización
Embolization, Therapeutic
Humans
Magnetic Resonance Imaging
Male
Quiste óseo aneurismático
Tomography, X-Ray Computed
Tratamiento
Treatment
Quiste óseo aneurismático
Tratamiento
Treatment
Aneurysmal bone cyst
Embolisation
Embolización
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Summary:The bone cyst is a rare benign tumour that usually develops in childhood. There are several treatment options, however when it is located within the pelvis treatment is complex. A 7 year-old patient who presented with 3 months of right hip pain and limping. The initial radiograph showed a discrete periostic reaction and acetabulum effacement. The MRI and CT scans suggested the diagnosis of aneurysmal bone cyst and was confirmed by open biopsy. Two serial embolizations were performed with good results, the patient was asymptomatic one year after. El quiste óseo aneurismático es una lesión neoplásica poco frecuente, que se presenta generalmente en la infancia. Existen diversas alternativas de tratamiento, sin embargo cuando se localizan a nivel pélvico su tratamiento es complejo. Paciente de 7 años que acude por coxalgia derecha y cojera de 3 meses evolución. En la radiografía inicial se observa discreta reacción periódica y borramiento del trasfondo acetabular. Se realiza resonancia magnética y tomografía, que sugieren el diagnóstico de quiste óseo aneurismático confirmándose mediante biopsia a cielo abierto. Se realizan dos embolizaciones seriadas con buena evolución, mostrándose el paciente asintomático al año.
ISSN:1988-8856
1988-8856
DOI:10.1016/j.recote.2016.05.001