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BMJ Case Reports 2017; doi:10.1136/bcr-2017-221079
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A rare consequence of very common osteoporotic pubic rami fracture in a patient with myeloproliferative disease

  1. Aktham Nahhas
  1. Geriatrics, Eastbourne District General Hospital, Eastbourne, East Sussex, UK
  1. Correspondence to Dr Chathuri Liyanapthirana, chathuril{at}live.com
  • Accepted 23 June 2017
  • Published 17 July 2017

Description

An 80-year-old female with janus kinase 2 positive myeloproliferative disease with stable blood parameters on aspirin and anagrelide admitted to the emergency department after a fall over the kerb complaining of pain limiting mobility. Initial assessment was stable without any external injuries noted. Pelvic X-ray demonstrated a stable pubic rami fracture (figure 1). Later on, her haemoglobin dropped 106 g/dL to 67 g/dL for no apparent cause. She was also noted to have an abdominal fullness and examination revealed a suprapubic mass. CT scan showed a well-defined hypointense collection measuring …

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