Maxillofacial Pediatric Surgery Unit

Brescia, Italy

Maxillofacial Pediatric Surgery Unit

Brescia, Italy
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Bocchialini G.,Maxillofacial Pediatric Surgery Unit | Ferrari L.,Maxillofacial Pediatric Surgery Unit | Burlini D.,Maxillofacial Pediatric Surgery Unit
International Journal of Surgery Case Reports | Year: 2017

Introduction Gorham-Stout disease (GSD), or vanishing bone disease, is a very rare condition of unknown aetiology. It is characterised by progressive osteolysis and angiomatosis. Case presentation We report the discovery of this very rare disease following a trivial deciduous tooth extraction in a 14-year-old female. We focus initially on the difference between the preoperative orthopantomography and the whole-body computed tomography and magnetic resonance images obtained post-haemorrhage, and then on the improvement of strategies for the correct diagnosis and treatment of this disease. Discussion Bone loss and the proliferation of vascular structures can occur in a single bone or spread to soft tissue and adjacent bone; areas commonly affected by GSD include the ribs, spine, pelvis, skull, clavicle, and the maxillofacial area. The clinical presentation of GSD includes pain, functional impairment, and swelling, although a few asymptomatic cases have been reported, similar to our case. Conclusion We report a very rare case of this multicentric disease in an asymptomatic child who presented for dental extraction, almost died, and was then diagnosed with and treated for GSD. © 2017 The Authors

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