CT-guided radiofrequency ablation of a tibial osteoid osteoma in pregnancy.
Prisca C Diala, Ilina Pluym, Nabia Khan et al.
✦ AI-curated · Sources linked
Case in brief
A 32-year-old pregnant woman at 34 weeks' gestation presented with severe right lower extremity pain due to an osteoid osteoma. CT imaging confirmed an 8 mm subperiosteal nidus. With inadequate pain relief from acetaminophen and increasing opioid use, she underwent ultrasound and CT-guided radiofrequency ablation, resulting in complete pain resolution. She later had an uncomplicated vaginal delivery.
Diagnostic / clinical pearl
In pregnant patients with osteoid osteoma, when NSAIDs are contraindicated, image-guided radiofrequency ablation can be a safe and effective alternative for pain management.