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Research Paper | Medical Surgical | India | Volume 11 Issue 11, November 2022
Rare Case Report and Review of Literature of Tumoral Calcinosis
Dr. Dhaval S. Kalara | Dr. Jignal Sonavale
Abstract: A 28 year old female patient was presented to the surgical opd with complaint of several days of severe and constant pain over left gluteal region. There were no relieving or instigating factors. The pain was so sharp. The patient denied any history of trauma to site. On physical examination, the patient was moderately dehydrated with normal pulse (76 pulse / min) and had normal blood pressure. The local examination showed signs of infllamation, hyper pigmentation and hardness and local tenderness. Laboratory studies were unremarkable. MRI study shows irregular area (3 x7.6 x 14cm) of heterogenously hyperintense on T1 weighted images which appears heterogenously hypointense on STIR images noted in subcutaneous plane at left gluteal region-suggest FAT NECROSIS. PD/STIR hyperintensity noted involving underlying left gluteal maximus muscle- suggest oedema. Debridement and Excisional Biopsy performed and sent for analysis. Report suggests histological features favour calcinosis. And adviced for PTH, S.Calcium, Phosphorus, S. Creatinine. All investigations were unsignificant. For Definative management lesion excision and limberg flap plasty operation performed. Total operative time was 120 minutes. Excised lesion sent for histopathological examination. The patient's subsequent hospital course was uneventful. She was discharged in satisfactory condition 10 days postoperatively. Biopsy report suggests histological features of acute on chronic inflammation, Fat necrosis, infarction, marked calcification and dystrophic bone formation in dermis, subcutaneous, fibrous and muscle tissue. No evidence of parasite and granuloma.
Keywords: Tumoral calcinosis, phosphate, blood
Edition: Volume 11 Issue 11, November 2022,
Pages: 862 - 863