Al-Saad Wisam, Qureshi Pir Abdul Ahad Aziz, Bollineni Vikram Rao, Tryggvason Thordur
Radiology, University Hospital Brussels, Brussels, BEL.
Faculty of Medicine, Háskóli Íslands, Reykjavík, ISL.
Cureus. 2024 Nov 22;16(11):e74206. doi: 10.7759/cureus.74206. eCollection 2024 Nov.
A 68-year-old patient came to the emergency department complaining of headaches and general weakness for the past month. The patient is known to have myeloproliferative disease. Non-contrast computer tomography showed a hyperdense extra-axial collection in bilateral frontoparietal regions, which was presumed to be bilateral subdural hematoma as the initial diagnosis. A drainage procedure using a borehole was performed, and a solid substance was aspirated instead of blood. Subsequently, the diagnosis of an extramedullary hematopoiesis was made using histopathological and immunohistochemical techniques.
一名68岁患者因过去一个月头痛和全身无力前来急诊科就诊。已知该患者患有骨髓增殖性疾病。非增强计算机断层扫描显示双侧额顶叶区域有轴外高密度病灶,初步诊断推测为双侧硬膜下血肿。采用钻孔引流术,抽出的是固体物质而非血液。随后,通过组织病理学和免疫组织化学技术诊断为髓外造血。