SESSILE PELVIC OSTEOCHONDROMA: A RARE CASE THAT REQUIRED ABDOMINAL WALL RECONSTRUCTION AFTER EXCISION

Authors

  • Mehroze Zamir Liaquat National Hospital and Postgraduate medical institute, Stadium Road, Karachi 74800, Pakistan
  • Nasir Ahmed Liaquat National Hospital and Postgraduate medical institute, Stadium Road, Karachi 74800, Pakistan
  • Faizan Iqbal Baqai Medical University Karachi
  • Syed Wajahat Kamal Patel Hospital Karachi

DOI:

https://doi.org/10.55519/JAMC-01-11151

Keywords:

Osteochondroma, exostosis, pelvis, excision, ilium, abdominal wall/surgery

Abstract

Osteochondroma are the most common benign tumours of the bone presenting in the young age group. Commonly found at the metaphysis of the long bones and mostly pedunculated; atypical locations and sessile appearances have also been described in literature. Due to the risk of conversion to malignant chondrosarcoma, the recommended treatment of these lesions is complete excision. We encountered a similar sessile growth in the pelvic region of a 21-year-old male with complaints of pain and swelling. After thorough investigation, excisional biopsy was performed and abdominal wall repair was reinforced with a polypropylene mesh. Careful evaluation, adequate investigations and meticulous surgical treatment can avoid potential problems in managing these tumours

Author Biographies

Mehroze Zamir, Liaquat National Hospital and Postgraduate medical institute, Stadium Road, Karachi 74800, Pakistan

Senior resident, department of orthopaedics

Nasir Ahmed, Liaquat National Hospital and Postgraduate medical institute, Stadium Road, Karachi 74800, Pakistan

Assistant Professor and Consultant Dept of Orthopedics

Faizan Iqbal, Baqai Medical University Karachi

Assistant Professor, Dept of Orthopedics

Syed Wajahat Kamal, Patel Hospital Karachi

Senior Registrar, Dept of Orthopedics

References

Dahlin DC, Unni KK. Bone tumours: General aspects and data on 8,547 cases. 4th Ed. United States: Charles C Thomas Publisher; 1986.

Baig MN, Auckloo R, Baig U, Kearns SR. An Unusual Presentation of Osteochondroma in a Sexagenarian. Cureus 2017;9(11):e1868.

Jadhav PU, Banshelkikar SN, Seth BA, Goregaonkar AB. Osteochondromas at Unusual Sites- Case Series with Review of Literature. J Orthop Case Rep 2016;6(1):52–4.

Rahman A, Bhandari PB, Hoque SU, Ansari A, Hossain AT. Solitary osteochondroma of the atlas causing spinal cord compression: a case report and literature review. BMJ Case Rep 2012;2012:bcr1220115435.

Thomas C, Sanderson B, Horvath DG, Mouselli M, Hobbs J. An Unusual Case of Solitary Osteochondroma of the Iliac Wing. Case Rep Orthop 2020;2020:8831806.

Li Y, Wang J, Tang J, Wang Z, Han B, Li N, et al. Heterogeneous spectrum of EXT gene mutations in Chinese patients with hereditary multiple osteochondromas. Medicine (Baltimore) 2018;97(42):e12855.

Aiba H, Yamada S, Yamamoto N, Hayashi K, Miwa S, Tsuchiya H, et al. Spontaneous shrinkage of solitary osteochondromas. Skeletal Radiol 2018;47(1):61–8.

Czajka CM, DiCaprio MR. What is the Proportion of Patients With Multiple Hereditary Exostoses Who Undergo Malignant Degeneration? Clin Orthop Relat Res 2015;473(7):2355–61.

Chun YS, Rhyu KH, Cho KY, Cho YJ, Lee CS, Han CS. Osteochondroma Arising from Anterior Inferior Iliac Spine as a Cause of Snapping Hip. Clin Orthop Surg 2016;8(1):123–6.

Herode P, Shroff A, Patel P, Aggarwal P, Mandlewala V. A Rare Case of Pubic Ramus Osteochondroma. J Orthop Case Rep 2015;5(3):51–3.

B Magalhães LV, Massardi FR, C Pereira SA. Pelvic osteochondroma causing meralgia paresthetica. Neurol India 2019;67(3):928–9.

Sun J, Wang ZP, Zhang Q, Zhou ZY, Liu F, Yao C, et al. Giant osteochondroma of ilium: a case report and literature review. Int J Clin Exp Pathol 2021;14(4):538–44.

Nekkanti S, Savsani S, Reddy Y, Meka A, Mahtani A. A rare sessile variant of osteochondroma presenting at an unusual site of the iliac wing in a 15-year-old boy. J Orthop Allied Sci 2018;6(2):93–5.

Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004;240(4):578–83;discussion 83–5.

Lanier ST, Dumanian GA, Jordan SW, Miller KR, Ali NA, Stock SR. Mesh Sutured Repairs of Abdominal Wall Defects. Plast Reconstr Surg Glob Open 2016;4(9):e1060.

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Published

2023-01-02

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