Ishii H, Tanaka A, Nakayama Y, Kuroda Y, Kuramoto H, Ibayashi H
Division of Internal Medicine, Moji Rosai Hospital, Kitakyushu, Japan.
Intern Med. 1992 Oct;31(10):1220-3. doi: 10.2169/internalmedicine.31.1220.
We report a case of fatal abdominal thorotrast granuloma seen in a 65-year-old man who had undergone a femoral angiography of thorotrast with some accidental extravasation 49 years previously. As the thorotrast granuloma gradually increased in size, it caused ureteral obstruction, venous thrombosis, and perforation of the urinary bladder and rectum. Symptomatic abdominal thorotrast granuloma is quite rare and this is the first reported case of the granuloma associated with perforation through the urinary bladder and rectum.
我们报告一例65岁男性患者的致命性腹部钍造影剂肉芽肿病例，该患者49年前曾接受过钍造影剂的股动脉造影，造影过程中发生了意外渗漏。随着钍造影剂肉芽肿逐渐增大，它导致了输尿管梗阻、静脉血栓形成以及膀胱和直肠穿孔。有症状的腹部钍造影剂肉芽肿非常罕见，这是首例报告的与膀胱和直肠穿孔相关的钍造影剂肉芽肿病例。
