Zheng Sui, Wang Jiagang, Ji Zhongyuan
Department of Ultrasound, Shantou Central Hospital, Shantou, Guangdong, China.
Radiol Case Rep. 2021 Jun 17;16(8):2256-2260. doi: 10.1016/j.radcr.2021.05.040. eCollection 2021 Aug.
Granulomatous inflammation is rare in the musculoskeletal system and difficult to diagnose. Here we describe a case of a 62-year-old woman with a history of being stabbed by a fishbone presented with a soreness, swelling, and limitation of movement of her right palm and wrist for 4 months. Surgery was done and the histopathology of specimens demonstrated granulomatous lesion, which was negative for acid-fast bacilli. This case demonstrates the diagnosis of granulomatous tenosynovitis on MRI, ultrasound, and surgical examination under anesthesia.
肉芽肿性炎症在肌肉骨骼系统中较为罕见且难以诊断。在此,我们描述一例62岁女性病例,该患者有被鱼刺刺伤史,右手掌和腕部疼痛、肿胀及活动受限4个月。已进行手术,标本的组织病理学显示为肉芽肿性病变,抗酸杆菌检查为阴性。本病例展示了磁共振成像(MRI)、超声及麻醉下手术检查对肉芽肿性腱鞘炎的诊断作用。