BMJ Case Reports 2017; doi:10.1136/bcr-2017-221079
  • Images in…

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}
  • Accepted 23 June 2017
  • Published 17 July 2017


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 …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article