Zargarbashi R, Ghader S, Mosalamiaghili S, Salimi M. Subperiosteal hematoma as a rare complication of neurofibromatosis 1: A case report and review of the literature.
Int J Surg Case Rep 2024;
120:109832. [PMID:
38878726 PMCID:
PMC11226957 DOI:
10.1016/j.ijscr.2024.109832]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 05/22/2024] [Accepted: 05/25/2024] [Indexed: 06/26/2024] Open
Abstract
INTRODUCTION
Subperiosteal hematoma (SPH) is a rare complication of neurofibromatosis type 1 (NF-1) which can be presented spontaneously or after a minor trauma a painful or painless growing lesion.
PRESENTATION OF CASE
Here, we presented a 10-year-old boy, a known case of NF-1, who presented with a painless growing leg lesion. The bony wall cystic lesion was suggested based on radiologic and pathologic investigation. During the operation, an SPH was detected and excised completely.
DISCUSSION
Consistent with previous reports, our case of subperiosteal hematoma in an NF-1 patient predominantly presented with well-established subperiosteal bone proliferation on plain radiographs, with the hematoma most commonly affecting the tibia.
CONCLUSION
The SPH in NF-1 and differentiating it from a malignant transformation should be considered for the rapidly enlarging bony mass.
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