Checa-Betegón P, Martínez-Aedo AU, García-Maroto R, Cebrián-Parra JL, Marco-Martínez F

Language: Spanish
References: 14
Page: 361-365
PDF size: 237.08 Kb.

ABSTRACT

The aneurysmal bone cyst is a benign rare tumor, which usually develops during childhood and it’s more often found in limbs. The most accepted treatment consists in curetagge and filling with graft. However, certain locations may be inaccesible for surgery and represent therapeutical challenges. We present the case of an 11 year-old male patient with limping and right hip pain without any traumatic nor infectious record. In the image studies with CT and MRI a lytic and expansive lession was found in the upper part of the right acetabulum and right iliac wing, all of which suggested an aneurysmal bone cyst with an associated acetabular fracture. A biopsy was performed which confirmed the diagnosis. He was treated with a CT-guided embolization and, due to its size, curetagge and allograft filling afterwards. He was asymptomatic after1 year of follow-up.

REFERENCES

1. Saus MN, Pino AL, Minguez Rey MF. Quiste óseo aneurismático localizado en trasfondo acetabular en un niño de 7 años: a propósito de un caso. Rev Esp Cir Ortop Traumatol. 2016; 40(4): 215-270.

2. Rossi G, Mavrogenis AF, Papagelopoulos PJ, Rimondi E, Ruggieri P. Successful treatment of aggressive aneurysmal bone cyst of the pelvis with serial embolization. Orthopedics. 2012; 35 (6): 963-8.

3. Kim CG, Kweon SH. Primary aneurysmal bone cyst in the iliac bone: a case report. Hip & Pelvis. 2014; 26(3): 202-5.

4. Heatimish BM, Alshaya OS, Pediatric aneurysmal bone cyst in the ischial region. Saudi Med J. 2016; 37(7): 799-803.

5. Novais EN, Zimmerman AK, Lewallen LW, Rose PS, Sim FH, et al. Functional outcomes and quality of life following surgical treatment of aneurysmal bone cysts of the pelvis in children. J Child Orthop. 2014; 8(3): 281-8.

6. Doss VT, Weaver J, Didier S, Arthur AS. Serial endovascular embolization as stand-alone treatment of a sacral aneurysmal bone cyst. J Neurosurg Spine. 2014; 20(2): 234-8.

7. Rossi G, Mavrogenis AF, Rimondi E, Ciccarese F, Tranfaglia C, Angelelli B, et al. Selective arterial embolisation for bone tumours: experience of 454 cases. Radiol Med. 2011; 116(5): 793-808.

8. Rossi G, Rimondi E, Bartalena T. Gerardi A, Alberghini M, Staals EL, et al. Selective arterial embolization of 36 aneurysmal bone cysts of the skeleton with N-2-butyl cianoacrylate. Skeletal Radiol. 2010; 39: 161-7.

9. Papagelopooulos PJ, Choudhury SN, Frassica FJ, Bons JR, Unni KK, Sim FH. Treatment of aneurysmal bone cysts of the pelvis and sacrum. J Bone Joint Surg Am. 2001; 83-A(11): 1674-81.

10. Brosjö O, Pechon P, Hesla A, Tsagozis P, Bauer H. Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts. Acta Orthop. 2013; 85(5): 502-5.

11. Agarwal A, Goel P, Khan SA, Kumar P, Qureshi NA. Large aneurysmal bone cyst of iliac bone in a female child: a case report. J Orthop Surg Res. 2010; 5: 24.

12. Henrichs MP, Beck L, Gosheger G, Streitbuerger A, Koehler M, Heindel W, et al. Selective arterial embolisation of aneurysmal bone cysts of the sacrum: a promising alternative to surgery. Rofo. 2016; 188(1): 53-9.

13. De Cristofaro R, Biagini R, Boriani S, Ricci S, Ruggieri P, et al. Selective arterial embolization in the treatment of aneurysmal bone cyst and angioma of bone. Skeletal Radiol. 1992; 21(8): 523-7.

14. Lambot-Juhan K, Pannier S, Grévent D, Péjin Z, Breton S, Berteloot L, et al. Primary aneurysmal bone cysts in children: precutaneous sclerotherapy with abdolute alcohol and proposal of a ascular classification. Pediatr Radiol. 2012; 42(5): 599-605.