AN INTERESTING CASE OF RIGHT ILIAC FOSSA PAIN

Abstract

Background: The very aggressive bone tumour known as Ewing's sarcoma is more prevalent in youngsters between the ages of 10 and 20. Sometimes the conventional clinical and radiological presentation of Ewing's sarcoma may not apply, and the patient may appear in an abnormal way that causes diagnostic uncertainty. This is especially true in cases of iliac bone-related Ewing's sarcoma. We describe a patient who presented with right lower quadrant discomfort and nonspecific radiological abnormalities and who later developed Ewing's sarcoma affecting the right ilium.

Case report: A 16-year-old female presented with complaints of intermittent, deep, dull aching pain in the right groin region, fatigue, on and off fever, decreased appetite and loss of weight since 4 months. On examination temperature recorded was febrile (100⁰F), pulse 110 bmp, BP - 110/70 mmhg. Pallor was present. On local examination a 2x1cm firm swelling with ill-defined margins was palpated in the right inguinal region, associated with tenderness.

Conclusion: It may not always manifest as the classic clinical and radiological presentation of Ewing's sarcoma of the ilium. Even if there is no overt sign of the illness, as there was in our instance, one should be extremely wary of it.