Kagimoto Atsushi, Shibata Satoshi
Department of Thoracic Surgery, Higashihiroshima Medical Center, Hiroshima, Japan.
Kyobu Geka. 2017 Jun;70(6):422-425.
The patient was a 76-year-old man. Chest computed tomography revealed an abscess of the chest wall incidentally. Mycobacterium tuberculosis was detected by the aspiration of the abscess. Since the abscess cavity exhibited a larger trend in spite of 3 months of antituberculosis chemotherapy, surgical resection was performed. During the operation, indigo stain was injected thorough an aspiration tube to visualize the spread of the abscess. The abscess was completely resected with combined partial resection of the 7th, 8th, and 9th ribs, and the diaphragm. The patient has been well without recurrence of the lesion for 8 months after surgery with 3 months of adjuvant antituberculosis chemotherapy.
该患者为一名76岁男性。胸部计算机断层扫描偶然发现胸壁脓肿。通过脓肿穿刺检测到结核分枝杆菌。尽管进行了3个月的抗结核化疗,但脓肿腔仍有扩大趋势,遂行手术切除。手术中,通过穿刺管注入靛胭脂以观察脓肿的扩散情况。脓肿连同第7、8、9肋骨及膈肌部分切除,得以完全切除。患者术后接受了3个月的辅助抗结核化疗,术后8个月病情良好,病变未复发。