Osteochondroma of the Pubic Ramus Presenting with Sexual Dysfunction: A Case Report
Abstract
A rare pelvic osteochondroma presenting with functional, sexual and psychosocial consequences in a young adult.
Osteochondroma is the most common benign bone tumor, usually affecting long bones. While solitary osteochondromas are usually benign, they can occasionally cause complications such as compression of adjacent structures, vascular or neurological impingement, or, in rare cases, malignant transformation into secondary chondrosarcoma. Pelvic osteochondromas are rare but can sometimes lead to significant functional and psychosocial distress.
We present a 21-year-old female patient with a six-year history of progressively enlarging pelvic osteochondroma in the right groin. The tumor caused difficulty in wearing fitted clothing, mechanical obstruction during sexual intercourse, and marital and social stigma. Despite its large size, there were no urinary or neurological symptoms. Surgical excision provided complete symptomatic relief and improved her quality of life.
This case highlights the atypical presentation and location of a benign bone tumor. Early surgical intervention should be considered in cases where the tumor leads to significant distress, even in the absence of pain or compression. This case reinforces the need to prioritize patient quality of life and highlights the significant role of surgical management in improving both functional and psychological well-being.
Young adult female presenting with a progressively enlarging pelvic lesion.
History of progressive enlargement of a right inguinal/pubic mass.
Osteochondroma arising from the right superior pubic ramus.
Surgical excision followed by symptomatic and functional improvement.
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Case Report
A clinical case describing a rare pelvic osteochondroma of the pubic ramus with significant functional, sexual and psychosocial consequences.
Multimodal Imaging
Pelvic radiography, computed tomography and magnetic resonance imaging were used to evaluate the lesion and support surgical planning.
Surgical Excision
The lesion was surgically excised and submitted for histopathological assessment, which confirmed benign osteochondroma.
One-Year Follow-Up
Postoperative recovery was uneventful. During one year of follow-up, no new growth or recurrence was reported, with improvement in daily activities, self-esteem and marital relations.
Written Informed Consent
Written informed consent was obtained from the patient for publication of the case report and accompanying images. The authors also acknowledged the patient’s consent to publication of her clinical and radiological information.
Conflict of Interest & Funding
Conflict of Interest:
No conflict of interest.
Funding:
No funding was involved. There were no proprietary
interests in the materials described in the article.
Contributor Statement
Kidanemariam Abrha — writing, review and editing; original draft; visualization; conceptualization. Seare Halefom Kahsay — writing, review and editing; conceptualization. Zeamanuel Berihu Teshome — investigation and conceptualization. Mezgebu Aregawi — writing, review and editing; conceptualization.
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Licence & Article Record
This article is published by
The Operating Room Global Journal (TORGJ)
under the Creative Commons Attribution
4.0 International licence (CC BY 4.0).
Persistent DOI:
10.64573/torgj2510001
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