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一例伪装成眼内异物残留的巩膜脉络膜钙化病例。

A case of sclerochoroidal calcification masquerading as a retained intraocular foreign body.

作者信息

Mani Xheida, Johnson Richard

机构信息

School of Medicine, University of Auckland, Auckland, Aotearoa, 85 Park Road, Grafton, Auckland 1023, New Zealand.

Greenlane Clinical Centre, Auckland, Aotearoa, New Zealand.

出版信息

Radiol Case Rep. 2023 Mar 25;18(5):2034-2038. doi: 10.1016/j.radcr.2023.02.049. eCollection 2023 May.

Abstract

A 41-year-old, New Zealand European male, was seen in the acute eye clinic as an in-patient from the trauma ward with multiple comorbidities including an orbital fracture from injuries sustained in a road traffic accident. It is not uncommon in emergency settings for emergency physicians to review polytrauma patients prior to Ophthalmologists, with Computerized Tomography being the imaging modality of choice. A hyper-dense lesion within the right globe was noted by radiology at the time and concerns were raised about the possibility of a retained intraocular foreign body. Upon Ophthalmic examination, a clinical diagnosis of sclerochoroidal calcification was made. This case highlights a rare case of sclerochoroidal calcification manifesting as a hyperdense lesion on computerized tomography masquerading as an intraocular foreign body.

摘要

一名41岁的新西兰欧洲裔男性,作为创伤病房的住院患者在急性眼科诊所就诊,患有多种合并症,包括因道路交通事故受伤导致的眼眶骨折。在急诊环境中,急诊医生在眼科医生之前对多发伤患者进行检查并不罕见,计算机断层扫描是首选的成像方式。当时放射科在右眼内发现了一个高密度病变,人们担心可能存在眼内异物残留。经眼科检查,做出了巩膜脉络膜钙化的临床诊断。该病例突出了一例罕见的巩膜脉络膜钙化病例,在计算机断层扫描上表现为高密度病变,伪装成眼内异物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf2f/10050674/2272e9378067/gr1.jpg

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