Unusual cause of hip pain
نویسندگان
چکیده
Case presentation 83 yr old lady presented with pain in left thigh and lower leg. There was history of lethargy, feeling tired and cold chills. Inflammatory markers were high with ESR 127 and CRP 203. Patient had history of malignant melanoma (2008) and AF on Warfarin. Examination of the hip showed reduced internal rotation. Xray pelvis, femur and chest were normal. USG abdomen showed heterogeneous vascular mass. MRI images showed enhancing soft tissue mass within left iliacus muscle this extends up to level of iliac crest down to level of inguinal ligament (“haematoma” was initially suspected based on the appearance of the lesion on MRI). Patient underwent CT guided biopsy confirmed grade 3 pleomorphic sarcoma of undifferentiated liposarcoma. She was referred to Sarcoma clinic at Leeds. She had palliative radiotherapy as the sarcoma was unresectable. CT image as shown in Figure 1.
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