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 122
- Downloads 0
Anterior cervical discectomy and fusion in patients with cervical disc disease- a clinical outcome study
Introduction: Cervical disc disease is a common and distressing problem. For patients who do not respond to conservative treatment, surgical treatment in the form of cervical discectomy and fusion (ACDF) is an option. AC...
To study the role of ultrasonography in diagnosis, management and prevention of incomplete surgical release in patient’s of de Quervain’s disease
Background: Fritz de Quervain, in 1895, described the tenosynovitis of first extensor compartment tendons of abductor pollicis longus and extensor pollicis brevis. Clinically characterized by pain and swelling over the r...
Accuracy of magnetic resonance imaging in diagnosis of knee injuries
Introduction: Apart from clinical examination multiple modalities (conventional radiography, MRI and arthroscopy) are currently used to evaluate knee injuries. This study is intended to compare the sensitivity and specif...
Autologous platelet injection in the treatment of long bone nonunion: A prospective interventional study
Introduction: Union of fracture is a complex process involving many systemic as well as local factors. Disturbance in any of these factors may lead to failure of process of union. This non-union is associated with increa...
Two stage revision arthroplasty for infected THA with handmade antibiotic impregnated cement hip spacer: A prospective cohort study
Introduction: Periprosthetic joint infection is a serious problem and requires great effort and cost for its treatment. The issues related to this situation are duration of antibiotic, stages of surgery and time of reimp...