Surgical Management of Aneurysmal Bone Cyst of the Pubis: A Case Report and Review of Literature

IntroductionAneurysmal bone cysts (ABC) are expansile, lytic, and benign but locally aggressive lesions. Pelvic ABCs are rare and sometimes difficult to manage surgically. Case ReportA 17-year-old female presented with progressive pain and swelling in the right inguinal region. Pelvis radiograph sho...

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Bibliographic Details
Published in:International medical case reports journal 2022, Vol.15, p.287-292
Main Authors: Dawod, Mohd Said, Alisi, Mohammed S, Rabab'a, Hammam, Abdulelah, Ahmed A, Almaaitah, Huthaifa W, Haddad, Bassem
Format: Report
Language:English
Online Access:Get full text
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Summary:IntroductionAneurysmal bone cysts (ABC) are expansile, lytic, and benign but locally aggressive lesions. Pelvic ABCs are rare and sometimes difficult to manage surgically. Case ReportA 17-year-old female presented with progressive pain and swelling in the right inguinal region. Pelvis radiograph showed a lytic expansile lesion of the superior pubic ramus. A multiloculated cystic lesion was evident on magnetic resonance imaging, and postoperative histopathological evaluation confirmed the diagnosis of ABC. The patient was treated successfully with an intralesional curettage and bone grafting. The postoperative course was uncomplicated with complete healing and no recurrence after 14 months of follow-up. ConclusionABC of the pubic ramus is a rare entity. Complete intralesional curettage and bone ‎grafting ‎is an effective treatment for pubic ABC. An individualized management approach ‎considering ‎the surgical team expertise, tumor size, and proximity to neighboring structures ‎is recommended.‎.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S369073