Incidental Intraosseous Pneumatocyst with gas-density-fluid level in an adolescent: a case report and review of the literature

Authors

  • Emad Al-Tarawneh
  • Mohammad AL-Qudah
  • Fadi Hadidi
  • Shams Jubouri
  • Azmy Hadidy

DOI:

https://doi.org/10.3941/jrcr.v8i3.1540

Keywords:

Intraosseous pneumatocyst, Gas-density-fluid level, Pediatrics, CT, MRI

Abstract

Intraosseous pneumatocyst is a gas containing lesion located within a bone. It is a relatively rare condition of unclear etiology and with an undetermined natural course. Gas-density-fluid level pneumatocyst is even rarer. Pneumatocyst is frequently seen in adults but rarely reported in pediatrics. The lesion is usually small and is seen in the vertebral bodies as well as around the sacroiliac joints. Rarely does it occur in other parts of the skeleton. We are reporting a case of large blood signal intensity containing intraosseous pneumatocyst in a 14 year old boy and reviewing other pediatric cases of pneumatocysts as well as those with gas-density-fluid level. The recognition of this incidental rare benign lesion is essential to avoid over investigation and an inappropriate aggressive intervention.

Author Biographies

Emad Al-Tarawneh

Radiology and Nuclear Medicine Department, Associate professor of Radiology, Cheif of Radiology and Nuclear Medicine Department.

Mohammad AL-Qudah

General Surgery Department, Associate professor of Surgery.

Fadi Hadidi

Special surgery Department-Orthopedic division,  Assistant Professor of Orthopaedic Surgery.

Shams Jubouri

Radiology and Nuclear Medicine Department, Radiology resident.

Azmy Hadidy

Radiology and Nuclear Medicine Department, Professor of Radiology.

 

Published

2014-03-25

Issue

Section

Musculoskeletal Radiology