Case Report

An Unusual case of Solitary Pubic tubercle Osteochondroma in young adult - A rare case report

Abstract

Introduction: The commonest benign bone tumours, Osteochondromas, which can be solitary or multiple involving the metaphyseal region of long bones, rarely presents in the axial skeleton such as pelvic girdle which warrants surgical excision in case of symptoms arising out of pressure effects. Case report: In this study we are herewith reporting unusual case of pubic tubercle osteochondroma which is solitary and pedunculated in a 37-year-old female. She had the swelling for the past 15 years which is asymptomatic except for mild hydroureteronephrosis which was an incidental diagnosis, however we managed the patient with surgical excision of the tumour with elaborate preoperative radiological imaging using both X-ray and CT. Histopathological examination was confirming the diagnosis of osteochondroma. Conclusion: Asymptomatic pelvic osteochondroma should be borne in mind in patients with incidental swelling in the groin region especially females who may be reluctant to seek medical attention due to social stigma.

Keywords: Osteochondroma, Pubic tubercle, surgical excision, solitary

1.Qaisrani GH, Muhammad I, Rahman A. Osteochondroma of a pubic bone in a young female. NMJ. 2009;1(2):24–25.
2.Wang WY, Du LD, Lv WC, Tian Y, Shao Q, Zhang YH. Osteochondroma of the symphysis pubis: a rare cause of bladder outlet obstruction. Am Surg. 2010 Aug;76(8):916–8.
3.Herode P, Shroff A, Patel P, Aggarwal P, Mandlewala V. A Rare Case of Pubic Ramus Osteochondroma. J Orthop Case Rep. 2015;5(3):51-53. doi:10.13107/jocr.2250-0685.307
4.Robert K, Heck . Benign bone tumors and neoplastic conditions simulating bone tumors. In: Terry Canale S, James H. Beaty, editors. Campbell’s Operative Orthopaedics. 11th ed. Philadelphia: Mobsy Elsevier; 2007. pp. 858–861.
5.Mark D. Murphey, James J. Choi, Mark J, Kransdorf, et al. Imaging of Osteochondroma: Variants and Complications with Radiologie-Pathologie Correlation. Radiographics. 2000;20:1407–1434.
6.Bone and soft tissue pathology(ppg331 -335)- Andrew i.folpe, Carrie y.inwards-a volume in the series foundations in diagnostic pathology, copyright 2010 by saunders an imprint of Elsevier, inc
7.Malghem J.Vande Berg, Noel H, et al. Benign osteochondromas and exostotic chondrosarcomas: evaluation of artilage cap thickness by ultrasound. Skeletal Radiol. 1992;21:33–37.
Files
IssueVol 10 No 1 (2024) QRcode
SectionCase Report
DOI https://doi.org/10.18502/jost.v10i1.14971
Keywords
Pubic tubercle surgical excision solitary Osteochondroma exostosis

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Kothimbakkam P, Chandhuru A, Anantharamakrishnan G, Murugesan V. An Unusual case of Solitary Pubic tubercle Osteochondroma in young adult - A rare case report. J Orthop Spine Trauma. 2024;10(1):42-4.