Yamaoka Yusuke, Yamamura Jun, Masuda Norikazu, Yasojima Hiroyuki, Mizutani Makiko, Nakamori Shoji, Kanazawa Toru, Kuriyama Keiko, Mano Masayuki, Sekimoto Mitsugu
Department of Surgery, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan.
Department of Surgery, Breast and Endocrine Surgery, Sakai City Hospital, 1-1-1 Minamiyasuicho, Sakai-ku, Sakai-shi, Osaka 590-0064, Japan.
Case Rep Med. 2014;2014:620876. doi: 10.1155/2014/620876. Epub 2014 Feb 9.
Primary chest wall abscess occurring after blunt chest trauma is rare. We present the case of a 50-year-old woman who presented with a swelling in her left breast. The patient had experienced blunt chest trauma 2 months back. Needle aspiration revealed pus formation in the patient's chest. Computed tomography revealed a mass in the lower region of the left mammary gland, with thickening of the parietal pleura and skin and fracture of the fifth rib under the abscess. Following antibiotic administration and irrigation of the affected region, surgical debridement was performed. During surgery, we found that the pectoralis major muscle at the level of the fifth rib was markedly damaged, although the necrotic tissue did not contact the mammary gland. We diagnosed the lesion as a chest wall abscess that occurred in response to blunt chest trauma. Her postoperative course was uneventful. There has been no recurrence for six months after surgery.
钝性胸部创伤后发生的原发性胸壁脓肿较为罕见。我们报告一例50岁女性患者,她因左侧乳房肿胀前来就诊。该患者在2个月前曾经历钝性胸部创伤。针吸活检显示患者胸部有脓液形成。计算机断层扫描显示左乳腺下部有一肿块,胸膜顶和皮肤增厚,脓肿下方第五肋骨骨折。在给予抗生素并对患区进行冲洗后,进行了手术清创。手术过程中,我们发现第五肋骨水平的胸大肌明显受损,尽管坏死组织未累及乳腺。我们将该病变诊断为钝性胸部创伤后发生的胸壁脓肿。她术后恢复顺利。术后六个月无复发。