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指向错误方向——一例以髋部症状表现的憩室炎病例

'Pointing' in the wrong direction--a case of diverticulitis presenting at the hip.

作者信息

Haleem S, Clifton R, Quraishi N A, Hallett J P

机构信息

Department of Trauma and Orthopaedic Surgery, Royal Sussex County Hospital, Brighton, UK.

出版信息

Hip Int. 2008 Jan-Mar;18(1):58-60. doi: 10.1177/112070000801800111.

Abstract

We report the case of a 73-year-old lady who was seen with an infected sinus leaking from the wound of a recently inserted right total hip joint prosthesis. Plain radiographs revealed gas shadows in the region of the wound. An intra-operative sinogram showed the sinus to be coming from a pelvic diverticular abscess and the hip to be an innocent bystander. Our case emphasises the importance of having a clear preoperative plan with relevant investigations before a radical operative procedure is undertaken, to avoid unnecessary risk to a non-infected hip prosthesis.

摘要

我们报告了一例73岁女性患者的病例,该患者因近期植入的右侧全髋关节假体伤口处出现感染性窦道并有渗出物而前来就诊。普通X线片显示伤口区域有气体阴影。术中鼻窦造影显示窦道源自盆腔憩室脓肿,而髋关节是无辜的旁观者。我们的病例强调了在进行根治性手术之前制定明确的术前计划并进行相关检查的重要性,以避免对未感染的髋关节假体造成不必要的风险。

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