Case Report

Rare presentation of chronic recurrent multifocal osteomyelitis of the Iliac wing mimicking Ewing’s sarcoma

Pankaj Nepal, Syed I. Alam, Sadia Sajid, Joshua Sapire, Vijayanadh Ojili
South African Journal of Radiology | Vol 25, No 1 | a2030 | DOI: https://doi.org/10.4102/sajr.v25i1.2030 | © 2021 Pankaj Nepal, Syed I. Alam, Sadia Sajid, Joshua Sapire, Vijayanadh Ojili | This work is licensed under CC Attribution 4.0
Submitted: 20 October 2020 | Published: 18 February 2021

About the author(s)

Pankaj Nepal, Department of Radiology, Faculty of Sciences, St. Vincent’s Medical Center, Bridgeport, United States
Syed I. Alam, Department of clinical imaging, Faculty of Sciences, Hamad medical corporation, Doha, Qatar
Sadia Sajid, Department of clinical imaging, Faculty of Sciences, Hamad medical corporation, Doha, Qatar
Joshua Sapire, Department of Radiology, Faculty of Sciences, St. Vincent’s Medical Center, Bridgeport, United States
Vijayanadh Ojili, Department of Radiology, University of Texas Health, San Antonio, Texas, United States


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Abstract

This report describes a case of chronic recurrent multifocal osteomyelitis (CRMO) in an 11-year-old girl, involving the iliac bone as an initial, solitary site. Atypical imaging features were suspicious of a bone tumour, such as Ewing’s sarcoma. Chronic recurrent multifocal osteomyelitis is a great masquerader and can present atypically. Radiologists should be familiar with both typical and atypical presentations, to determine an accurate diagnosis and guide appropriate management. Timely diagnosis may avoid invasive bone biopsy and inappropriate long-term antibiotic prescription for children.

Keywords

Chronic recurrent multifocal osteomyelitis; CRMO; MRI; Ilium; rare.

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