- 期刊
Postoperative Exostosis of the Xiphoid Process: Report of a Case
腹部手術後的劍突部異常骨質增生：病例報告
摘要
異位性骨質增生一般發生在反覆性的創傷及發炎部位，很少發生在清潔的手術傷口。我們提出一個罕見病例，在先前上腹部手術傷口的深部，產生異位性骨質增生。 一位六十三歲男性病患，五年前因上消化道出血接受上腹部開腹手術。在近二年間發現上腹部有一逐漸變大的腫塊，並伴隨著日漸加重的不適感。腹部X光及電腦斷層檢查顯示有異位骨化組織增生。因病人不適及腫塊範圍持續增加，我們對這腫塊實施切除手術。腫塊大小為12×4×1.5公分，並與劍突連接。 該腫塊經組織病理診斷為骨質增生。這種清潔的手術傷口所造成的異位性骨質增生，在臨床上甚為罕見。我們回顧了相關文獻並提出病例報告。
關鍵字
無資料並列摘要
Heterotopic bone formation is not an unusual condition, but it rarely occurs in a clean surgical wound. Because of its uncommon occurrence and location, the condition may not be suspected on initial encounter or it may be mistaken for malignant lesions or a retained foreign body. We present a case of exostosis of the xiphoid process 5 years after laparotomy. A firm mass in the upper abdomen under the previous operative scar caused discomfort to this patient. Heterotopic bone measuring 12×4×1.5 cm in size was carefully excised, and no recurrence has been noted to date.
延伸閱讀
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