Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma
We report a case of Ewing's sarcoma of the sacroiliac joint in a 21-year-old male mimicking tubercular sacroiliitis, a rare entity not reported in literature. He presented with pain in the lower back radiating to the right lower limb along with constitutional symptoms of 3 months duration. On e...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2014-02-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-8-79.pdf |
| _version_ | 1819078180486512640 |
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| author | Bhavuk Garg Divesh Jalan Prakash P Kotwal |
| author_facet | Bhavuk Garg Divesh Jalan Prakash P Kotwal |
| author_sort | Bhavuk Garg |
| collection | DOAJ |
| description | We report a case of Ewing's sarcoma of the sacroiliac joint in a 21-year-old male mimicking tubercular sacroiliitis, a rare entity not reported in literature. He presented with pain in the lower back radiating to the right lower limb along with constitutional symptoms of 3 months duration. On examination, the right sacroiliac joint was tender. The laboratory investigations showed anaemia, leukocytosis and raised erythrocyte sedimentation rate. On X-ray, features of right sacroiliitis were seen. This was further investigated with magnetic resonance imaging (MRI), which showed features consistent with tubercular sacroiliitis. Patient was then started on antitubercular treatment, but the improvement was not consistent. So, a contrast MRI was done, which indicated features of primary sarcoma. It was then further confirmed by a computed tomography-guided biopsy, which showed features consistent with Ewing's sarcoma of the sacroiliac joint. |
| first_indexed | 2024-12-21T19:09:00Z |
| format | Article |
| id | doaj.art-2aa2f641c2684510a19fec68d291f3e8 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-21T19:09:00Z |
| publishDate | 2014-02-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-2aa2f641c2684510a19fec68d291f3e82022-12-21T18:53:15ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462014-02-0181798310.4184/asj.2014.8.1.79704Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic DilemmaBhavuk Garg0Divesh Jalan1Prakash P Kotwal2Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.We report a case of Ewing's sarcoma of the sacroiliac joint in a 21-year-old male mimicking tubercular sacroiliitis, a rare entity not reported in literature. He presented with pain in the lower back radiating to the right lower limb along with constitutional symptoms of 3 months duration. On examination, the right sacroiliac joint was tender. The laboratory investigations showed anaemia, leukocytosis and raised erythrocyte sedimentation rate. On X-ray, features of right sacroiliitis were seen. This was further investigated with magnetic resonance imaging (MRI), which showed features consistent with tubercular sacroiliitis. Patient was then started on antitubercular treatment, but the improvement was not consistent. So, a contrast MRI was done, which indicated features of primary sarcoma. It was then further confirmed by a computed tomography-guided biopsy, which showed features consistent with Ewing's sarcoma of the sacroiliac joint.http://www.asianspinejournal.org/upload/pdf/asj-8-79.pdfSacroiliac jointSacroiliitisEwing sarcomaMagnetic resonance imaging |
| spellingShingle | Bhavuk Garg Divesh Jalan Prakash P Kotwal Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma Asian Spine Journal Sacroiliac joint Sacroiliitis Ewing sarcoma Magnetic resonance imaging |
| title | Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma |
| title_full | Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma |
| title_fullStr | Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma |
| title_full_unstemmed | Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma |
| title_short | Ewing's Sarcoma of the Sacroiliac Joint Presenting as Tubercular Sacroiliitis: A Diagnostic Dilemma |
| title_sort | ewing s sarcoma of the sacroiliac joint presenting as tubercular sacroiliitis a diagnostic dilemma |
| topic | Sacroiliac joint Sacroiliitis Ewing sarcoma Magnetic resonance imaging |
| url | http://www.asianspinejournal.org/upload/pdf/asj-8-79.pdf |
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