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一名新冠肺炎患者胸部计算机断层扫描偶然发现术后肋间反向疝

Postoperative inverted intercostal hernia incidentally detected by chest computed tomography in a patient with COVID-19.

作者信息

Peixoto Murilo de Sá Barrêto Callou, Moreira Bruno Lima, Santana Pablo Rydz Pinheiro, Ferreira Artur Rodrigues, Terra Ricardo Mingarini

机构信息

Hospital Beneficência Portuguesa de São Paulo, 769 Maestro Cardim St. Bela Vista, São Paulo, SP, 01323-001, Brazil.

Centro Paulista de Oncologia/Grupo Oncoclínicas - Hospital 9 de Julho, 545 Peixoto Gomide St. - Cerqueira César, São Paulo, SP, 01409-002, Brazil.

出版信息

Radiol Case Rep. 2022 Jul 13;17(9):3336-3338. doi: 10.1016/j.radcr.2022.06.037. eCollection 2022 Sep.

Abstract

Inverted intercostal hernias are uncommon, and even more so when comprised of soft tissue instead of lung parenchyma in the postoperative context. This report demonstrates a case in with such a hernia was diagnosed through chest multidetector computerized tomography in a 48-year-old woman who presented to the emergency room with respiratory symptoms and tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). She had positive surgical history for left lower lobectomy with bronchoplastic procedure and mediastinal lymphadenectomy, due to an endobronchial typical carcinoid tumor a few years ago. Therefore, it is important for radiologists to be aware of the imaging characteristics of inverted intercostal hernias, to avoid diagnostic errors.

摘要

肋间倒转疝并不常见,在术后情况下,由软组织而非肺实质构成的肋间倒转疝则更为罕见。本报告展示了一例通过胸部多排螺旋计算机断层扫描诊断出的此类疝病例,患者为一名48岁女性,因呼吸道症状前往急诊室就诊,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)检测呈阳性。几年前,她因支气管内典型类癌接受了左下叶切除术、支气管成形术和纵隔淋巴结清扫术,有阳性手术史。因此,放射科医生了解肋间倒转疝的影像学特征很重要,以避免诊断错误。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b85/9287773/98771da38dfb/gr1.jpg

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