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Case Reports in Orthopedics
Volume 2015, Article ID 629601, 4 pages
http://dx.doi.org/10.1155/2015/629601
Case Report

Ewing’s Sarcoma of Ilium, Presenting as Right Lower Quadrant Pain

Department of Orthopedics, Division of Surgical Specialities, King Fahad Medical City, Riyadh 11525, Saudi Arabia

Received 31 July 2015; Revised 14 November 2015; Accepted 16 November 2015

Academic Editor: Kaan Erler

Copyright © 2015 Osama Saleh Alshaya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ewing’s sarcoma is a highly malignant tumor of bone and is more common in children in the age group of 10 to 20 years. Sometimes the classic clinical and radiological presentation of Ewing’s sarcoma may not be the norm and patient may have an atypical presentation leading to diagnostic confusion. This situation is especially true for Ewing’s sarcoma involving iliac bone. We report a case of Ewing’s sarcoma involving the right ilium in a patient presenting with right lower quadrant pain and nonspecific radiological changes. To the best of our knowledge, this scenario has not been reported in literature. We recommend early magnetic resonance imaging and computed tomography to diagnose the disease early when there is slightest suspicion of the disease.