Khaled Kamoun1*, Ahmed Mdaoukhi1, Wajdi Arfa1, Mohamed Amri1, Zied Jlalia1, Faten Farah2 and Mourad Jenzri1
1Pediatric Orthopedic Department, Kassab Orthopedic Institute, Tunisia EI Manar University, Tunisia
2Anatomapathology Department, Kassab Orthopedic Institute, Tunisia EI Manar University, Tunisia
*Corresponding Author: Khaled Kamoun, Pediatric Orthopedic Department, Kassab Orthopedic Institute, Tunisia EI Manar University, Tunisia.
Received: October 28, 2022; Published: November 28, 2022
Osteochondroma is a benign bone tumor developing especially in long bone metaphysis in children. It can be involved in hereditary multiple exostoses disease (HME) or an isolated tumor. It rarely develops in spine and pelvis. We report a rare localization of a voluminous osteocnondroma developing from iliac crest in a five-year-old child initially followed for HME. In clinical exam this mass was hard, immobile but not adherent to the overlying skin. No hip joint stiffness was observed.
X ray showed a pedenculated tumor with high-density and clear boundarie developing from ilium lateral fossa. This exam revealed also smaller asymptomatic exostoses in distal femur and proximal tibia. CT scan showed a “cauliflower like” tumor. The child complains from pain while lying in a right side and when wearing trousers. En-bloc excision was performed by direct approach. Histological study confirms diagnosis showing a cartilage cap and abundant cellular hyaline cartilage and chondrocytes. There was no recurrence at two years follow up and the child is regularly seen in outpatient department for the other osteochondroma locations.
Keywords: Osteochondroma, Child, Bone, Tumor, Pelvis
Citation: Khaled Kamoun., et al. “Ilium Osteochondroma in a Child: A Voluminous Rare Localization”.Acta Scientific Orthopaedics 5.12 (2022): 189-191.
Copyright: © 2022 Khaled Kamoun., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.