Tophaceous Gout of Hip Joint Mimicking Bone Tumor

Idulhaq Mujaddid; E. Rosihan; T. H. Handry; W. Brian

doi:10.3889/oamjms.2020.4624

Authors

Idulhaq Mujaddid Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopedic Hospital, Solo, Indonesia
E. Rosihan Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopedic Hospital, Solo, Indonesia
T. H. Handry Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopedic Hospital, Solo, Indonesia
W. Brian Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopedic Hospital, Solo, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.4624

Keywords:

Tophaceous gout, Hip joint, Mimicking bone tumor

Abstract

BACKGROUND: Gout is a condition characterized by abnormally elevated levels of uric crystals (gouty tophi). It is often to detect in the foot and ankle. Occasionally such tophus is found at rare sites and makes a challenge to the clinician where diagnosis and treatment are concerned.

CASE REPORT: We present a patient who presented to our oncology department with pain on her right hip. It was diagnosed as a benign tumor by the clinical and radiological assessment but intraoperatively turned out to be gouty tophi. Excision surgery has performed, in the 1-year follow-up; there is no relapse of pain.

CONCLUSIONS: Tophaceous gout in the hip joint is a rare case, which clinical and radiology assessments can detect erroneous diagnose. Tophaceous gout in the hip joint mimicked the bone tumor characteristics. It requires a better application and diagnosed for the mimicked tophaceous gout.

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