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足部残留异物致慢性骨髓炎,酷似假瘤:1 例报告。

Residual foreign body in the foot causing chronic osteomyelitis mimicking a pseudotumor: A case report.

机构信息

Department of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung.

出版信息

J Int Med Res. 2020 Jun;48(6):300060520925379. doi: 10.1177/0300060520925379.

DOI:10.1177/0300060520925379
PMID:32500829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7278315/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/4365e7f9395c/10.1177_0300060520925379-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/6fa75b8f99ff/10.1177_0300060520925379-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/72f09d47b711/10.1177_0300060520925379-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/0d5379fa0276/10.1177_0300060520925379-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/46927f57b966/10.1177_0300060520925379-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/4365e7f9395c/10.1177_0300060520925379-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/6fa75b8f99ff/10.1177_0300060520925379-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/72f09d47b711/10.1177_0300060520925379-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/0d5379fa0276/10.1177_0300060520925379-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/46927f57b966/10.1177_0300060520925379-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0284/7278315/4365e7f9395c/10.1177_0300060520925379-fig5.jpg

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本文引用的文献

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J Foot Ankle Surg. 2017 Jul-Aug;56(4):885-888. doi: 10.1053/j.jfas.2017.03.006.
2
Ochrobactrum anthropi-Caused Osteomyelitis in the Foot Mimicking a Bone Tumor: Case Report and Review of the Literature.模仿骨肿瘤的嗜人寡养单胞菌引起的足部骨髓炎:病例报告及文献复习
J Foot Ankle Surg. 2017 Jul-Aug;56(4):851-853. doi: 10.1053/j.jfas.2017.02.008.
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Radiology of foreign bodies: how do we image them?异物的放射学检查:我们如何对其进行成像?
Emerg Radiol. 2015 Aug;22(4):425-30. doi: 10.1007/s10140-015-1294-9. Epub 2015 Feb 4.
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Foreign body granuloma: a diagnosis not to forget.异物肉芽肿:一个不容忽视的诊断。
Case Rep Orthop. 2012;2012:439836. doi: 10.1155/2012/439836. Epub 2012 Mar 26.
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Retained toothpick causing pseudotumor of the first metatarsal: a case report and literature review.残留牙签导致第一跖骨假瘤:一例报告及文献综述
Foot Ankle Surg. 2008;14(1):32-5. doi: 10.1016/j.fas.2007.07.002. Epub 2007 Sep 14.
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Differential diagnosis between osteomyelitis and bone tumors.骨髓炎与骨肿瘤的鉴别诊断。
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Thorn-induced "tumors" of bone.骨的刺诱发“肿瘤”
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Thorn-induced pseudotumor of the metatarsal. A case report.跖骨棘突诱发假瘤。病例报告。
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Preoperative localization of a foreign body by magnetic resonance imaging.通过磁共振成像对异物进行术前定位。
Eur J Radiol. 1998 Feb;26(3):309-11. doi: 10.1016/s0720-048x(97)01159-5.
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Detection of wooden foreign bodies in muscle tissue: experimental comparison of computed tomography, magnetic resonance imaging, and ultrasonography.肌肉组织中木质异物的检测:计算机断层扫描、磁共振成像和超声检查的实验比较
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