Unusual Presentation of Osteoid Osteoma with Exacerbating Pain during Menses

Authors

Wassan Nori, Departments of Obstetrics & Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq
Shaymaa K. Abdulqader, Department of Surgery/Radiology, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
Nabeeha N. Akram, Departments of Pediatrics, College of Medicine, Mustansiriyah University, Baghdad, Iraq
Raid M. Al-Ani, Department of Surgery/Otolaryngology, College of Medicine, University of Anbar, Anbar, IraqFollow
Qays A. Hassan, Department of Surgery/Radiology, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
Alexandru C. Pantazi, Department of Pediatrics, Faculty of Medicine, “Ovidius” University, Constanta, Romania

Abstract

Osteoid osteomas (OO) are benign neoplasms commonly present during the second and third decade of life, showing a male predominance with classical nocturnal bone pain dramatically responding to nonsteroidal anti-inflammatory drugs. We report a 22-year-old female patient who presented at a teaching hospital, Baghdad, Iraq, in 2023. She presented with right leg bone pain that was exacerbated during menstruation, a presentation that had never been reported in the literature before. The pain intensity increased and interfered with her daily activity. A computed tomography scan showed OO signs and surgical excision and histopathology confirmed OO. The patient's pain reduced to 0 on the visual analog scale. She has no recurrence signs 2 years after the surgery. This novel OO presentation may increase physician awareness of atypical presentation. A careful evaluation of a challenging presentation added to an imaging study may reveal the underlying cause and exclude other diagnostic dilemmas.

Publication Date

3-20-2025

First Page

162

Last Page

167

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.

Recommended Citation

Nori, Wassan; Abdulqader, Shaymaa K.; Akram, Nabeeha N.; Al-Ani, Raid M.; Hassan, Qays A.; and Pantazi, Alexandru C. (2025) "Unusual Presentation of Osteoid Osteoma with Exacerbating Pain during Menses," Sultan Qaboos University Medical Journal: Vol. 25: 162-167.
DOI: https://doi.org/10.18295/squmj.10.2024.067