Tanaka Nobuyoshi, Ito Yoshitaka, Hori Kaori, Endo Naoki, Ota Koji
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Kyobu Geka. 2010 Sep;63(10):922-5.
The patient was a 70-year-old woman who visited our hospital due to right chest pain. Chest computed tomography (CT) and magnetic resonance imaging (MRI) revealed an abscess in the chest wall which was diagnosed as tuberculous abscess by a bacterial examination of needle aspiration. In spite of anti-tuberculosis chemotherapy, the abscess was ruptured on day 15 after starting treatment, and a radical resection of the abscess was performed after 10-days conservative treatment. Skin over the abscess and a part of right 7th and 8th rib were also resected. Postoperative anti-tuberculosis chemotherapy was added and no relapse was seen for 40 months postsurgery.
该患者为一名70岁女性,因右侧胸痛前来我院就诊。胸部计算机断层扫描(CT)和磁共振成像(MRI)显示胸壁有一个脓肿,经针吸细菌检查诊断为结核性脓肿。尽管进行了抗结核化疗,但在开始治疗后的第15天脓肿破裂,经过10天的保守治疗后进行了脓肿根治性切除术。脓肿上方的皮肤以及右侧第7、8肋骨的一部分也被切除。术后增加了抗结核化疗,术后40个月未见复发。