Management of pathological femoral fracture secondary to Ewing sarcoma in pregnancy: A case report
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Ewing's sarcoma is an ultra-orphan disease (2/1,000,000/year) which requires a multimodal therapy approach in high-volume centers. Treatment consists of pre-operative therapy followed by surgery and post-operative combination of chemo-radiotherapy. Experience with diagnosis and therapy of Ewing's sarcoma in pregnancy is very limited. We herein report the case of an atypical Ewing's sarcoma detected in the second trimester of gestation. The present study reports a case of a 24-week primigravida presenting with presented with chief complains of sudden onset of pain in left proximal thigh and inability to stand from bed on 28 feb.2017 in early mornig. Consult local doctor where x ray advice & some analgesic given. X-ray done at periphery which shows pathological subtrochantric fracture. From there she refer to higher centre for further management. An internal fixator was placed in the left femur for definitive treatment of the fracture. Normal delivery was performed at 32 gestational weeks. Following delivery, staging of cancer was conducted. Subsequently, adjuvant treatment started. The rare nature of this condition underlines once more the need for a multidisciplinary team to improve the quality of care for this highly special patient collective.
Authors and Affiliations
Dr. Vidya Sagar, Dr. Ashutosh Kumar, Dr. Manish Kumar, Dr. Kavya Abhilashi, Dr. Arnab Sinha, Dr. Saurabh Kumar, Dr. Pankaj Kumar Singh
Keywords
Related Articles
- EP ID EP500546
- DOI 10.22271/ortho.2017.v3.i3m.134
- Views 98
- Downloads 0
Operative results of proximal femoral nailing in subtrochanteric fracture femur using pyriformis fossa entry
Introduction: Subtrochanteric fracture of the femur is a variant of the peritrochanteric fracture of the femur. It extends upto 5 cm below the lesser trochanter. The incidence is relatively much lower (3.9% of all the pr...
Retrospective comparative study of fracture neck of femur treated with Uni polar Vs bipolar hemiarthroplasty
Background and Objective: Intracapsular femoral neck fractures are common in the elderly population. To avoid the poor outcome of internal fixation and for early mobilization, hemiarthroplasty is performed. However, ther...
Functional outcome of close Bimalliolar fracture treated by open reduction and internal fixation by various methods: A retrospective study
Background: Ankle injuries gain importance because body weight is transmitted through it and location depends upon the stability of this joint. Unstable displaced and open fractures require open reduction internal fixati...
Functional outcome of proximal humeral interlocking system plating for displaced proximal humeral fractures in adults
Objective: The objective of the study was to assess functional outcome of Proximal Humerus Inter Locking System (PHILOS) Plating in displaced proximal humeral fractures by Constant-Murley (Subjective and Objective) score...
A prospective study of excision of bony eminence in haglund deformity for treating retrocalcaneal bursitis
The aim of this study is to analyse the outcome of surgical management of Haglund’s deformity. Haglund’s deformity is a prominence in the posterolateral aspect of the calcaneum, causing a painful bursitis, which may be d...