Kayias Efstathios H, Drosos Georgios I, Hapsas Dimitrios, Anagnostopoulou Georgia A
2nd Orthopaedic Department, Naval Hospital of Athens, Greece.
Acta Orthop Belg. 2003 Jun;69(3):280-4.
The authors report a case of suicidal elemental mercury injection in the antecubital fossa, resulting in granuloma formation, which was treated with delayed resection. A 21-year-old man presented with a granuloma in the antecubital fossa after a suicide attempt by self-injection of elemental mercury. The patient was treated surgically with excision of the necrotic skin and granuloma under X-ray guidance, with good result. Despite the fact that human exposure to mercury has been ongoing for centuries, the deposition of metallic mercury into the skin and subcutaneous tissue, causing cutaneous granuloma formation is uncommon, with fewer than 100 reports presented in the dermatologic, toxicologic and general medical literature. On the contrary, there is a lack of reports of this soft-tissue injury in the orthopaedic literature.
作者报告了一例在前臂肘窝自注射金属汞自杀的病例，导致肉芽肿形成，最终通过延迟切除进行治疗。一名21岁男性在自注射金属汞自杀未遂后，在前臂肘窝出现肉芽肿。该患者在X线引导下接受了坏死皮肤及肉芽肿切除术，手术效果良好。尽管人类接触汞已有数百年历史，但金属汞沉积于皮肤和皮下组织导致皮肤肉芽肿形成的情况并不常见，在皮肤科、毒理学及普通医学文献中报道不足100例。相反，骨科文献中缺乏这种软组织损伤的报道。
