Osteosarcoma of the Proximal Femur Mimicking Septic Arthritis of the Hip: A diagnostic dilemma
Journal Title: Sultan Qaboos University Medical Journal - Year 2018, Vol 1, Issue 4
Abstract
Septic arthritis is a surgical emergency requiring prompt drainage of the accumulation of pus in the joint. We report an eight-year-old boy who was referred to the Armed Forces Hospital, Salalah, Oman, in 2016 with limping and pain in his right hip along with an abduction deformity. He was initially diagnosed with synovitis and underwent conservative management. However, two weeks later, he presented to another centre due to persistent pain. Magnetic resonance imaging was suggestive of septic arthritis or osteomyelitis. Eight weeks later, the patient presented again to the Armed Forces Hospital. An arthrotomy was performed, during which an amount of what appeared to be frank pus was drained; however, cultures of the intraoperative samples returned no growth. A histopathological analysis revealed an osteosarcoma. The patient was subsequently referred elsewhere and underwent neoadjuvant chemotherapy and limb salvage surgery. Several months later, he relapsed and developed extensive pulmonary metastasis and died as a result of progressive deterioration.
Authors and Affiliations
Salil Umrani, Yaqoub Al-Mufargi
Keywords
Related Articles
- EP ID EP37488
- DOI http://dx.doi.org/10.18295/squmj.2018.18.04.021
- Views 292
- Downloads 0
Hope lost and found My struggle with Ménières disease
Outcomes of Women with Non-Metastatic Triple-Negative Breast Cancer in Oman: A single-centre experience
Objectives: Triple-negative breast cancer (TNBC) is one of the most aggressive and heterogeneous variants of breast cancer. However, little is known regarding the prevalence and outcome of this entity in the Middle East....
Clinical and Epidemiological Characteristics of Pituitary Tumours using a Web-based Pituitary Tumour Registry in Oman
Objective: From a recently instituted web-based pituitary tumour registry at Sultan Qaboos University Hospital, Oman, this study explores the results of comprehensive clinical evaluation, hormonal levels, radiological e...
‘Spoon-Fed’ Versus Self-Directed Learning in an Arab Context.
No Abstract
Assessment of the Relationship of Hepatic Enzymes with Obesity and Insulin Resistance in Adults in Saudi Arabia
Tis study was conducted to assess the relationship of hepatic enzymes and serum albumin to obesity and insulin resistance in adults in Saudi Arabia. Methods: A comparative study of 36 Saudi adults, comprising of 68 o...