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经闭孔尿道中段无张力吊带术后大腿脓肿误诊为肉瘤:一例报告及文献复习

Thigh abscess mistaken for sarcoma following transobturator tape: a case report and literature review.

作者信息

Yeung Patrick, Sokol Andrew, Walton Brianna, Iglesia Cheryl

机构信息

Department of Obstetrics and Gynecology, Georgetown University Hospital, Washington, DC 20007, USA.

出版信息

J Minim Invasive Gynecol. 2007 Sep-Oct;14(5):657-9. doi: 10.1016/j.jmig.2007.04.012.

Abstract

A 44-year-old female, 1 year status-post ObTape transobturator mid-urethral sling, was evaluated by orthopaedic oncology and urology for persistent thigh pain and a left thigh mass. Multiple muscle biopsies were inconclusive, raising concern for inflammatory sarcoma. After serial débridements of the thigh abscess, sling material was found in the obturator space, which gave the diagnosis. Health care providers, both gynecologic and nongynecologic, need to be aware of serious complications of transobturator slings that may present in atypical ways.

摘要

一名44岁女性,在接受经闭孔尿道中段吊带术1年后,因持续的大腿疼痛和左大腿肿块接受了骨科肿瘤学和泌尿外科的评估。多次肌肉活检结果不明确,引发了对炎性肉瘤的担忧。在对大腿脓肿进行系列清创术后,在闭孔间隙发现了吊带材料,从而明确了诊断。妇科和非妇科的医护人员都需要意识到经闭孔吊带可能以非典型方式出现的严重并发症。

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