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一只狗全髋关节置换术后六年盆腔内肉芽肿形成。

Intrapelvic granuloma formation six years after total hip arthroplasty in a dog.

作者信息

Freeman Calista B, Adin Christopher A, Lewis Daniel D, Ginn Pamela E

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610-0126, USA.

出版信息

J Am Vet Med Assoc. 2003 Nov 15;223(10):1446-9, 1433. doi: 10.2460/javma.2003.223.1446.

Abstract

A 9-year-old Golden Retriever that had undergone left total hip arthroplasty 6 years previously was evaluated because of constipation and tenesmus. Abdominal radiography and ultrasonography revealed a large intrapelvic mass that was contiguous with a mass of polymethyl methacrylate that had been extruded through a defect in the medial wall of the acetabulum at the time of total hip arthroplasty. Clinical signs resolved following resection of the mass and associated polymethyl methacrylate from the pelvic canal. Results of histologic examination of the mass were consistent with a diagnosis of foreign body granuloma, most likely secondary to particulate debris. There was no clinical or radiographic evidence of aseptic loosening of the acetabular or femoral components, and the mass may have represented a response to wear debris.

摘要

一只9岁的金毛猎犬因便秘和里急后重前来就诊,该犬6年前接受了左侧全髋关节置换术。腹部X线摄影和超声检查发现盆腔内有一个大肿块,与全髋关节置换术时通过髋臼内侧壁缺损挤出的聚甲基丙烯酸甲酯肿块相连。从盆腔管切除肿块及相关聚甲基丙烯酸甲酯后,临床症状消失。肿块的组织学检查结果符合异物肉芽肿的诊断,很可能继发于颗粒碎片。没有临床或影像学证据表明髋臼或股骨组件存在无菌性松动,该肿块可能是对磨损碎片的一种反应。

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