Downey C, Daly A, Molloy AP, O’Daly BJ. Atraumatic groin pain secondary to an aneurysmal bone cyst: A case report and literature review. World J Orthop 2020; 11(3): 197-205 [PMID: 32280609 DOI: 10.5312/wjo.v11.i3.197]
Corresponding Author of This Article
Colum Downey, MBBS, MCh, BSc, MSc, MRCS, Doctor, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin 9, Ireland. columdowney@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Mar 18, 2020; 11(3): 197-205 Published online Mar 18, 2020. doi: 10.5312/wjo.v11.i3.197
Atraumatic groin pain secondary to an aneurysmal bone cyst: A case report and literature review
Colum Downey, Aisling Daly, Alan P Molloy, Brendan J O’Daly
Colum Downey, Brendan J O’Daly, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin 9, Ireland
Aisling Daly, Department of Medicine, Trinity College Dublin, Dublin 2, Ireland
Alan P Molloy, Department of Trauma and Orthopaedics, St. Vincent’s University Hospital, Dublin 4, Ireland
Author contributions: Downey C and Daly A performed research and wrote the case report. Molloy AP and O’Daly BJ researched the topic and provided direction and critical analysis of the case report.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Colum Downey, MBBS, MCh, BSc, MSc, MRCS, Doctor, Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin 9, Ireland. columdowney@gmail.com
Received: September 16, 2019 Peer-review started: September 16, 2019 First decision: October 13, 2019 Revised: November 3, 2019 Accepted: January 13, 2020 Article in press: January 13, 2020 Published online: March 18, 2020
Abstract
BACKGROUND
Bone lesions can present the multi-displinary team with a challenge by way of diagnosis as some lesions share many radiological and histological characteristics. Giant cell tumours of the bone (GCTB) are relatively common, benign bone tumours. Aneurysmal bone cysts (ABC) are less common benign osteolytic lesions that are histologically similar to GCTBs but produce blood filled cavities. Both GCTBs and ABCs are locally aggressive and are typically found on meta-epiphyseal regions of long bones with pelvic tumours being less common.
CASE SUMMARY
A 17-year old female presented with atraumatic right groin pain and was initially diagnosed with a GCTB on the right superior pubic ramus of the pelvis. The patient was treated successfully with a wide excision, curettage and bone graft and underwent open reduction and internal fixation of the right hemi-pelvis. Following further intra-operative histological investigations, the lesion was diagnosed as an ABC.
CONCLUSION
This patient has had an uncomplicated post-operative course, has returned to comfortable weight bearing and will be reviewed for minimum 5 yr in the out-patient setting to monitor for reoccurrence.
Core tip: We hereby present the successful management of a young female who presented with atraumatic groin pain. This patient was ultimately diagnosed with an aneurysmal bone cyst of the superior pubic ramus and underwent wide-excision, curettage, bone grafting and open reduction internal fixation of her right hemi-pelvis. This patient is currently mobilising comfortably and is being monitored in the out-patient setting for recurrence.
