Hawaii Island Family Medicine Residency Program, Hilo, Hawaii.
Hilo Community Surgery Center and Hilo Orthopedics, Hilo, Hawaii.
JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00283. doi: 10.2106/JBJS.CC.19.00283.
We report a 58-year-old woman with no history of gout who subsequently developed gouty tophi around retained suture material identified 12 ½ years after repair of a ruptured Achilles tendon. The patient had intermittently developed an apparent postsurgical infection at and around the incision site. She had normal uric acid levels.
The diagnosis of gout was not confirmed until surgical exploration was performed 12 ½ years after the initial surgery. Awareness of such a rare incidence of surgical site gout would help clinicians in their management decisions.
我们报告了一例 58 岁女性患者，既往无痛风病史，在距初次修复跟腱断裂术后 12 年半时，于遗留缝线周围出现痛风石。患者间断出现切口及周围疑似术后感染。其尿酸水平正常。
在初次手术后 12 年半进行手术探查时才确诊为痛风。了解这种罕见的手术部位痛风的发病情况将有助于临床医生做出治疗决策。
