Int J Surg Case Rep. 2017;34:110-114. doi: 10.1016/j.ijscr.2017.03.028. Epub 2017 Mar 21.

From tooth extraction to Gorham-Stout disease: A case report.

International journal of surgery case reports

Gabriele Bocchialini, Luca Ferrari, Dante Burlini

PMID: 28384557 PMCID: PMC5382024 DOI: 10.1016/j.ijscr.2017.03.028

Abstract

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.

Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Case report; Gorham-Stout disease; Haemorrhage; Oral surgery

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