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Solitary Cartilaginous Exostosis of the Ilium Presenting as an Abdominal Mass

Solitary Cartilaginous Exostosis of the Ilium Presenting as an Abdominal Mass Abstract THE NATURE of an abdominal mass is always a diagnostic challenge to both the clinician and the radiologist. Bone tumors are rarely the cause of abdominal masses in children. In this paper we report a boy with a solitary osteocartilaginous exostosis of the ilium which presented clinically as a mass in the lower abdomen. Report of a Case A 4-year-old white boy, was well until three days prior to admission when his left lower abdomen became painful, and a limp developed on the left side. He did not vomit, was not nauseous, and had not changed his bowel or urinary habits. Laxatives did not relieve his symptoms. On the day of admission, his pediatrician felt a hard mass in the left lower quadrant of the abdomen.Past medical and family history were noncontributory.Physical examination was normal except for the presence of a hard, fixed, slightly-tender mass about 5 cm References 1. Ilgenfritz, H.C.: Vertebral Osteochondroma , Amer Surg 17:917-922, 1951. 2. Jaffe, H.L.: Tumors and Tumorous Conditions of the Bones and Joints , ed 2, Philadelphia: Lea & Febiger, Publishers, 1958, pp 143-150, 332-340. 3. Rubin, P.: Dynamic Classification of Bone Dysplasias , Chicago: Year Book Medical Publishers, Inc., 1964, p 299. 4. Fong, E.E.: "Iliac Horns" (Symmetrical Bilateral Central Posterior Iliac Processes): A Case Report , Radiology 47:517, 1946. 5. Carbonara, P., and Alpert, M.: Hereditary Osteo-Onycho-Dysplasia (HOOD) , Amer J Med Sci 248:139, 1964.Crossref 6. Lichtenstein, L.: Bone Tumors , ed 2, St. Louis: The C. V. Mosby Co. Publishers, 1965, pp 17-28. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Solitary Cartilaginous Exostosis of the Ilium Presenting as an Abdominal Mass

Lee, Fred A.
American Journal of Diseases of Children , Volume 114 (2) – Aug 1, 1967
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1967.02090230125017
Publisher site
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Abstract

Abstract THE NATURE of an abdominal mass is always a diagnostic challenge to both the clinician and the radiologist. Bone tumors are rarely the cause of abdominal masses in children. In this paper we report a boy with a solitary osteocartilaginous exostosis of the ilium which presented clinically as a mass in the lower abdomen. Report of a Case A 4-year-old white boy, was well until three days prior to admission when his left lower abdomen became painful, and a limp developed on the left side. He did not vomit, was not nauseous, and had not changed his bowel or urinary habits. Laxatives did not relieve his symptoms. On the day of admission, his pediatrician felt a hard mass in the left lower quadrant of the abdomen.Past medical and family history were noncontributory.Physical examination was normal except for the presence of a hard, fixed, slightly-tender mass about 5 cm References 1. Ilgenfritz, H.C.: Vertebral Osteochondroma , Amer Surg 17:917-922, 1951. 2. Jaffe, H.L.: Tumors and Tumorous Conditions of the Bones and Joints , ed 2, Philadelphia: Lea & Febiger, Publishers, 1958, pp 143-150, 332-340. 3. Rubin, P.: Dynamic Classification of Bone Dysplasias , Chicago: Year Book Medical Publishers, Inc., 1964, p 299. 4. Fong, E.E.: "Iliac Horns" (Symmetrical Bilateral Central Posterior Iliac Processes): A Case Report , Radiology 47:517, 1946. 5. Carbonara, P., and Alpert, M.: Hereditary Osteo-Onycho-Dysplasia (HOOD) , Amer J Med Sci 248:139, 1964.Crossref 6. Lichtenstein, L.: Bone Tumors , ed 2, St. Louis: The C. V. Mosby Co. Publishers, 1965, pp 17-28.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Aug 1, 1967

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