A rare case of multiple and huge simple bone cysts in Wilson’s disease

• Published in: Journal of orthopaedic surgery (Hong Kong) Vol. 27; no. 2; p. 2309499019843141
• Main Authors: Ji, Jong-Hun, Hwang, Won-Ha, Lee, Yeon Soo, Kim, Jong Ok
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.05.2019; Sage Publications Ltd; SAGE Publishing
• Subjects: Adult; Bone Cysts - diagnosis; Bone Cysts - etiology; Bone Cysts - surgery; Cysts; Epiphyses; Femur; Hepatolenticular Degeneration - complications; Hepatolenticular Degeneration - diagnostic imaging; Humans; Humerus; Liver cirrhosis; Male; trauma; humerus; hepatolenticular degeneration; bone cyst
• ISSN: 2309-4990; 1022-5536; 2309-4990
• DOI: 10.1177/2309499019843141

A simple bone cyst is a tumor-like lesion that is not a true neoplasm. It usually presents as a solitary lesion within the proximal humerus and proximal femur. The etiology of simple bone cysts is still to be elucidated. We describe our experience in the successful surgical management of a rare case of two, large-sized, simple bone cysts involving the entire left humerus and right femoral head, respectively, in a 34-year-old male patient with Wilson’s disease and concomitant hepatic cirrhosis. We theorized that Wilson’s disease could be the cause of the delay or blockage of the natural healing process of the simple long-bone cysts, leading to their abnormal growth and development. To our knowledge, such a combined occurrence of multiple, simple long-bone cysts and Wilson’s disease has not been reported in the literature to date.