Abdominal wall gossypiboma.
Abstract
A 71-year-old woman, one year following a fleur-de-lis abdominoplasty and incisional hernia repair, presented with two chronic, draining peri-umbilical sinuses. Her immediate postoperative course was complicated by a superficial surgical site infection with central skin breakdown that was treated with vacuum assisted closure (VAC). After the wound had closed completely, two midline sinus tracts developed. A CT scan demonstrated an 8x3x1.6cm thick-walled collection along the anterior abdominal wall containing numerous air bubbles. Surgical debridement revealed a cavity containing an 8x3x1.6cm block of well incorporated VAC foam. With the increasing clinical use of VAC wound therapy, this image serves as an important reminder to include gossypiboma in the differential diagnosis for patients with chronic wound problems who have previously received VAC treatment.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | abdominoplasty
|
복부성형술 | dict | 1 | |
| 해부 | skin
|
scispacy | 1 | ||
| 합병증 | surgical site infection
|
감염 | dict | 1 | |
| 합병증 | incisional hernia
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | midline sinus
|
scispacy | 1 | ||
| 합병증 | thick-walled
|
scispacy | 1 | ||
| 합병증 | cavity
|
scispacy | 1 | ||
| 약물 | VAC
→ vacuum assisted closure
|
C1956080
Vacuum-Assisted Closure
|
scispacy | 1 | |
| 질환 | Abdominal wall gossypiboma
|
scispacy | 1 | ||
| 질환 | hernia
|
C0019270
Hernia
|
scispacy | 1 | |
| 질환 | infection
|
C0009450
Communicable Diseases
|
scispacy | 1 | |
| 질환 | gossypiboma
|
C1532195
Gossypiboma
|
scispacy | 1 | |
| 기타 | Abdominal wall
|
scispacy | 1 | ||
| 기타 | anterior abdominal wall
|
scispacy | 1 |
MeSH Terms
Abdominal Wall; Aged; Debridement; Diagnosis, Differential; Female; Follow-Up Studies; Foreign Bodies; Hernia, Abdominal; Humans; Negative-Pressure Wound Therapy; Plastic Surgery Procedures; Surgical Wound Infection; Tomography, X-Ray Computed
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