medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2010, Number 1

<< Back Next >>

Acta Ortop Mex 2010; 24 (1)

Chest granuloma secondary to methyl methacrylate. Case report

Martínez-Bistrain R, Robles GV, Cornejo-Morales I

Language: Spanish
References: 9
Page: 28-32
PDF size: 262.94 Kb.


ABSTRACT

We present the case of a patient with a history of a massive left hemithorax crushing injury in 1985; the exact management of the lesion is unknown. Twenty years later he had a thoracic fistula with a culture that was reported as positive for Enteroccocus faecalis and Staphyloccocus epidermidis. The patient was referred by the chest surgery service with the diagnosis of rib osteomyelitis once complementary imaging tests were performed (plain X-rays, CAT scan and MRI). The patient underwent surgery at our service; a granulomatous reaction secondary to a foreign body (methyl methacrylate and Ethibon) was reported. Chest reconstruction for massive lesions is possible with methyl methacrylate. Imaging studies involve the well-known difficulty to identify this material, given that it may produce signals and densities that are difficult to interpret by specialized physicians.


REFERENCES

  1. Easter A: Management of patients with multiple rib fracture. Am J Crit Care 2001; 10: 320-7.

  2. Benoit J, Bibas R: Operative stabilization of flail chest using a prosthetic mesh and methylmethacrilate. Eur J Cardiothorac Surg 2006; 29: 1064-6.

  3. LeRoux BT, Shama DM: Resection of tumor of the chest wall. Curr Probl Surg 1983; 20: 345-86.

  4. McCormack PM, Bains MS: New trend in skeletal reconstruction after resection of chest wall tumor. Ann Thorac Surg 1981; 31: 45-51.

  5. Didier L: Functional assessment of chest wall integrity after methylmethacrylate reconstruction. Ann Thorac Surg 2000; 69: 919-23.

  6. Weyant MJ: Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg 2006; 81(1): 279-85.

  7. Gayer G, Yellin A: Reconstruction of the sternum and chest wall with methylmethacrylate: CT and MRI appearance. Eur Radiol 1998; 2(8): 239-43.

  8. Herman J, Sowder W: Polymethylmethacrylate-Induced release of bone-resorting factors. J Bone Joint Surg Am 1989; 71: 1530-41.

  9. Petty W: The effect of methylmethacrylate on chemotaxis of polymorphonuclear leukocytes. J Bone Joint Surg Am 1978; 60: 492-8.




2020     |     www.medigraphic.com