Urabe N, Fujisawa T
Department of Surgery, Numazu City Hospital, Japan.
Kyobu Geka. 1994 Feb;47(2):153-5.
A 45-year-old man referred to our hospital complaining of dry cough. Chest X-ray and CT scan film indicated tumor shadow in the right anterior mediastinum. Although preoperative diagnosis was teratoma, the specimen extirpated by thoracotomy revealed macroscopically and microscopically foreign body granuloma originated from gauzes. He had undergone segmentectomy of right upper lobe for tuberculosis 28 years ago, so the gauzes were thought to be left in right thoracic cavity at the operation. The foreign body granuloma originated from gauzes are iatrogenic and few cases were reported previously, however, whirl like pattern demonstrated by MRI is retrospectively considered to be an important diagnostic finding in this case.
一名45岁男性因干咳前来我院就诊。胸部X线和CT扫描显示右前纵隔有肿瘤阴影。尽管术前诊断为畸胎瘤,但开胸手术切除的标本在宏观和微观上均显示为源自纱布的异物肉芽肿。他28年前因肺结核接受了右上叶节段切除术,因此推测这些纱布是当时手术时遗留在右胸腔内的。源自纱布的异物肉芽肿属于医源性,此前报道的病例较少,然而,回顾性分析认为,本例中MRI显示的漩涡状表现是一个重要的诊断依据。