Department of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung.
J Int Med Res. 2020 Jun;48(6):300060520925379. doi: 10.1177/0300060520925379.
Osteomyelitis from a retained foreign body should be included in the differential diagnosis of any osteolytic lesion of the foot. We report here a case of a 59-year-old man who presented with swelling over the dorsolateral aspect of the right foot. Plain x-ray showed an osteolytic lesion that mimicked a pseudotumor. Magnetic resonance imaging (MRI) showed multilocular fluid collection over the right cuboid with a hypointense lesion over the plantar fascia. The patient underwent surgery and a rubber fragment (1 cm × 0.8 cm) was removed from his foot that had been present for two years following a stabbing injury. The patient fully recovered without complication or disability.
由异物留存引起的骨髓炎应纳入足部任何溶骨性病变的鉴别诊断中。我们在此报告一例 59 岁男性,其右足背外侧出现肿胀。X 线平片显示溶骨性病变,类似于假瘤。磁共振成像(MRI)显示右骰骨多房性积液,足底筋膜有低信号病变。患者接受了手术,从他的脚部取出了一个存在了两年的橡胶碎片(1cm×0.8cm),此前他曾被刺伤。患者完全康复,没有并发症或残疾。