Iyengar KP, Vinjamuri A, Ahuja N. Brachialis muscle metastasis: An unusual, presenting site of metastatic adenocarcinoma of the colon.
J Clin Orthop Trauma 2022;
25:101771. [PMID:
35111571 PMCID:
PMC8784323 DOI:
10.1016/j.jcot.2022.101771]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 01/08/2022] [Accepted: 01/13/2022] [Indexed: 01/18/2023] Open
Abstract
Skeletal muscle metastasis from gastrointestinal system tumours is extremely rare. We report an unusual presentation of skeletal muscle metastasis in the brachialis muscle as a presenting feature of a previously undiagnosed colonic adenocarcinoma in a 66-year-old male. He presented to us with a painful, flexion deformity of his elbow and suspected to have a biceps brachii rupture. We review the clinico-radiological findings and the relevant literature. This case-report highlights the importance of a thorough clinical evaluation especially in presence of red flag signs, early multi-disciplinary team (MDT) discussion and biopsy to formulate a plan of management.
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