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Pediatric Obturator Internus Muscle Myxoma
Intramuscular myxoma is a rare benign tumor that presents as a slow-growing, deeply seated mass confined within a skeletal muscle. Histologically, these lesions most resemble umbilical cord tissue. They mostly occur in people between 40 and 70 years old, with a 57% female predilection. These tumors...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7819700/ https://www.ncbi.nlm.nih.gov/pubmed/33475306 http://dx.doi.org/10.5435/JAAOSGlobal-D-20-00099 |
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author | Saleh, Ehab S. |
author_facet | Saleh, Ehab S. |
author_sort | Saleh, Ehab S. |
collection | PubMed |
description | Intramuscular myxoma is a rare benign tumor that presents as a slow-growing, deeply seated mass confined within a skeletal muscle. Histologically, these lesions most resemble umbilical cord tissue. They mostly occur in people between 40 and 70 years old, with a 57% female predilection. These tumors are very rare in children. Only one pediatric intramuscular myxoma case is reported in the literature. The goal of this study is to report the case of a 13-year-old girl who presented to our hospital emergency department in 2018 with right hip pain, elevated inflammatory markers, and fever; her initial differential diagnosis was hip septic arthritis, pelvic osteomyelitis, and pelvic abscess. A pelvic MRI revealed a well-defined enhancing round lesion in the right obturator internus muscle. The diagnosis was conformed with a CT-guided core biopsy. The patient's symptoms improved with conservative management, and she continues to be doing well 2 years later. Pediatric pelvic intramuscular myxomas are extremely rare; however, they can have a presentation that mimic a more serious condition such as hip septic arthritis, pelvic osteomyelitis, and pelvic abscess and should be considered in the differential diagnosis in a pediatric patient presenting with hip pain. |
format | Online Article Text |
id | pubmed-7819700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-78197002021-01-22 Pediatric Obturator Internus Muscle Myxoma Saleh, Ehab S. J Am Acad Orthop Surg Glob Res Rev Case Report Intramuscular myxoma is a rare benign tumor that presents as a slow-growing, deeply seated mass confined within a skeletal muscle. Histologically, these lesions most resemble umbilical cord tissue. They mostly occur in people between 40 and 70 years old, with a 57% female predilection. These tumors are very rare in children. Only one pediatric intramuscular myxoma case is reported in the literature. The goal of this study is to report the case of a 13-year-old girl who presented to our hospital emergency department in 2018 with right hip pain, elevated inflammatory markers, and fever; her initial differential diagnosis was hip septic arthritis, pelvic osteomyelitis, and pelvic abscess. A pelvic MRI revealed a well-defined enhancing round lesion in the right obturator internus muscle. The diagnosis was conformed with a CT-guided core biopsy. The patient's symptoms improved with conservative management, and she continues to be doing well 2 years later. Pediatric pelvic intramuscular myxomas are extremely rare; however, they can have a presentation that mimic a more serious condition such as hip septic arthritis, pelvic osteomyelitis, and pelvic abscess and should be considered in the differential diagnosis in a pediatric patient presenting with hip pain. Wolters Kluwer 2021-01-19 /pmc/articles/PMC7819700/ /pubmed/33475306 http://dx.doi.org/10.5435/JAAOSGlobal-D-20-00099 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Saleh, Ehab S. Pediatric Obturator Internus Muscle Myxoma |
title | Pediatric Obturator Internus Muscle Myxoma |
title_full | Pediatric Obturator Internus Muscle Myxoma |
title_fullStr | Pediatric Obturator Internus Muscle Myxoma |
title_full_unstemmed | Pediatric Obturator Internus Muscle Myxoma |
title_short | Pediatric Obturator Internus Muscle Myxoma |
title_sort | pediatric obturator internus muscle myxoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7819700/ https://www.ncbi.nlm.nih.gov/pubmed/33475306 http://dx.doi.org/10.5435/JAAOSGlobal-D-20-00099 |
work_keys_str_mv | AT salehehabs pediatricobturatorinternusmusclemyxoma |