偶然发现第十和第十一肋横突关节孤立性结核：一例报告。

Fortuitous discovery of isolated tuberculosis of the tenth and eleventh costotransverse joints: A case report.

作者信息

Benammou Adnene, Elloumi Ahmed, Kamoun Chrif, Bellil Mehdi, Balti Walid, Ben Dhia Siwar, Mahmoud Ines, Abdelmoula Leila, Hadhri Khaled, Kooli Mondher, Ben Salah Mohamed

机构信息

Orthopedic surgery department, Charles Nicolle's Hospital. Boulevard 9 avril. Tunis, Tunisia.

Rheumatology department, Charles Nicolle's Hospital, Boulevard 9 avril, Tunis, Tunisia.

出版信息

Radiol Case Rep. 2022 Apr 5;17(6):1897-1900. doi: 10.1016/j.radcr.2022.03.016. eCollection 2022 Jun.

DOI:10.1016/j.radcr.2022.03.016

PMID:35401892

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8991227/

Abstract

Involvement of posterior elements of the spine in spinal tuberculosis is rare. We report a case of a 56-year-old woman who presented with asymptomatic tuberculosis of the tenth and eleventh costotransverse joints. The latter was discovered with a CT scan made to look for a pulmonary embolism. Magnetic Resonance Imaging (MRI) showed liquid in the costotransverse joints with a paravertebral abscess. The patient was managed conservatively. Although rare, posterior tuberculosis of the spine should be known by spine surgeons. MRI is the key to the diagnosis. Conservative treatment is the standard treatment, and surgery is reserved for patients with neurological deficit.

摘要

脊柱结核累及脊柱后部结构较为罕见。我们报告一例56岁女性，她因第十和第十一肋横突关节无症状性结核就诊。后者是在为寻找肺栓塞而进行的CT扫描中发现的。磁共振成像（MRI）显示肋横突关节有液体及椎旁脓肿。该患者接受了保守治疗。尽管罕见，但脊柱外科医生应了解脊柱后部结核。MRI是诊断的关键。保守治疗是标准治疗方法，手术仅适用于有神经功能缺损的患者。