Northington Marian Elizabeth, Huang Conway C
Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama 35294-0009, USA.
Dermatol Surg. 2004 Dec;30(12 Pt 2):1572-3. doi: 10.1111/j.1524-4725.2004.30568.x.
This case describes a 75-year-old African American man who developed a pyogenic granuloma on the chest due to trauma induced by exposed sternotomy wires from his coronary bypass procedure.
To describe a previously unreported cause of pyogenic granuloma.
The pyogenic granuloma was excised and during the procedure, exposed sternotomy wires were uncoiled at the base of the lesion. The sternotomy wires were retightened and reappositioned along the sternum, and the wound was closed primarily.
The pyogenic granuloma has not recurred after 15 months of follow-up.
Pyogenic granulomas are vascular benign tumors that commonly appear secondary to trauma. The source of the trauma in this case was the exposed sternotomy wires.
本病例描述了一名75岁的非裔美国男性,其因冠状动脉搭桥手术中暴露的胸骨切开钢丝导致的创伤,在胸部出现了化脓性肉芽肿。
描述一种此前未报道过的化脓性肉芽肿病因。
切除化脓性肉芽肿,手术过程中,在病变底部解开暴露的胸骨切开钢丝。重新收紧胸骨切开钢丝并沿胸骨重新定位,伤口一期缝合。
随访15个月后,化脓性肉芽肿未复发。
化脓性肉芽肿是血管性良性肿瘤,通常继发于创伤。本例创伤来源为暴露的胸骨切开钢丝。