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脊柱结核迟发导致双侧腰大肌脓肿及广泛软组织受累

Bilateral Psoas Abscess and Extensive Soft Tissue Involvement Due to Late Presentation of Pott's Disease of the Spine.

作者信息

Elnaim Abdel Latif K

机构信息

Department of Surgery, UKM Medical Centre, MBBS Kordofan, MRCS Ed, MS Gen Surg Malaysia, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur Malaysia.

出版信息

Indian J Surg. 2011 Apr;73(2):161-2. doi: 10.1007/s12262-010-0206-1. Epub 2010 Nov 19.

Abstract

Pott's disease of the spine with psoas abscess is currently rare form of Extra- pulmonary tuberculosis (TB) in the developed countries, however it is still seen in areas where TB is endemic. We describe a rare case if not the first (according to our knowledge) of bilateral ruptured psoas abscess with extensive tissue necrosis and pelvic organs exposure with limited neurological deficit presented late in young girl. In this case Pott's disease was associated with extensive tissue necrosis exposing pubic bones, urinary bladder and psoas muscle.

摘要

脊柱结核合并腰大肌脓肿在发达国家目前是肺外结核的一种罕见形式,然而在结核病流行地区仍可见到。我们描述了一例(据我们所知可能是首例)年轻女孩晚期出现的双侧破裂腰大肌脓肿,伴有广泛组织坏死和盆腔器官暴露且神经功能缺损有限的罕见病例。在该病例中,脊柱结核伴有广泛组织坏死,耻骨、膀胱和腰大肌暴露。

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