Anomalous right coronary artery from left coronary sinus can have dynamic narrowing and kinking causing symptoms of myocardial ischemia and sudden cardiac death. Surgical repair of the anomaly is required in the symptomatic patient because of risk of ischemia or ventricular arrhythmia. Asymptomatic incidentally diagnosed low-risk patients can be closely followed up with exercise restriction as per present guideline.
Benign Fibrous Histiocytoma is such a rare tumor that only a few cases have been reported in the literature. A patient with an apparently benign lesion of the distal femur presented at our Outpatient Department. Pain was the chief complaint. There were histological features of Non-ossifying Fibroma in the lesion. Because of its unusual radiological appearance and atypical clinical course, the lesion was diagnosed as Fibrous Histiocytoma. In this case report, we discuss about such a rare case. This 55 years old male patient with history of chronic kidney Disease came with complaints of pain over medial aspect of left knee, initially was managed elsewhere with conservative management. Referred to Orthopaedic surgery department for further management. After all necessary investigations, was planned for Incisional Biopsy. After the biopsy report, was planned for definitive management with Extended Curettage and Prophylactic fixation.
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