Minor Samuel, Rowe Judy, Hoogerboord Marius
Department of Surgery and Critical Care Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Radiology, Dalhousie University, Halifax, Nova Scotia, Canada.
J Surg Case Rep. 2022 Jun 16;2022(6):rjac270. doi: 10.1093/jscr/rjac270. eCollection 2022 Jun.
The rare (<2%) development of calcium deposits in soft tissue, known as dystrophic calcification (DC) with the use of Stimulan® (Biocomposites Ltd, Wilmington, NC) absorbable, calcium sulfate antibiotic beads (CSABs) in the setting of orthopedic surgery has previously been described. However, the use of CSAB in hernia repair is relatively novel and its association with the development of DC in this setting has not been previously reported. We describe a case where DC following abdominal wall reconstruction with CSAB was misinterpreted on CT imaging as an enteric fistula and almost resulted in an unnecessary emergency surgical procedure.
先前已有报道，在骨科手术中使用Stimulan®（生物复合材料有限公司，北卡罗来纳州威尔明顿）可吸收硫酸钙抗生素珠（CSABs）时，软组织中会罕见地（<2%）出现钙沉积，即营养不良性钙化（DC）。然而，CSAB在疝修补术中的应用相对较新，此前尚未有关于其在此情况下与DC发生之间关联的报道。我们描述了一例病例，在该病例中，用CSAB进行腹壁重建后发生的DC在CT成像上被误诊为肠瘘，几乎导致了不必要的急诊外科手术。
