SILENT STERNUM COLLAPSE IN A MYELOMA PATIENT: A CASE OF SPONTANEOUS FRACTURE

Authors : Omer Esmez

Pages : 147-149

Doi:10.33706/jemcr.1741322

View : 65 | Download : 247

Publication Date : 2025-12-31

Article Type : Other Papers

Abstract :Abstract Introduction: Sternal fractures are typically associated with high-energy trauma, while spontaneous occurrences are rare and often overlooked. Multiple myeloma (MM), a hematologic malignancy characterized by plasma cell proliferation and lytic bone destruction, increases the risk of pathological fractures, even in flat bones such as the sternum. Case Report: A male patient in his 50s with an 8-year history of MM and prior autologous stem cell transplantation presented with scapulothoracic pain radiating anteriorly. He denied any history of trauma. Laboratory findings were unremarkable. Retrospective evaluation of serial chest computed tomography (CT) scans revealed no abnormalities in December 2023. However, subsequent scans from March and April 2024 demonstrated progressive sternal lysis and a displaced fracture. Due to the patient’s overall clinical status and absence of neurological or cardiopulmonary compromise, conservative management was chosen. Conclusion: This case underscores the importance of considering spontaneous pathological fractures in MM patients, particularly when new chest pain arises without trauma. Early recognition through imaging is crucial to prevent misdiagnosis, avoid unnecessary interventions, and guide appropriate management strategies.
Keywords : Multipl Miyelom, Spontan Kırık, Sternum Kırığı, Litik Kemik Lezyonu, Patolojik Kırık, Travma Dışı Göğüs Ağrıs

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