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胸腰椎結核에 發生한 腰筋膿瘍이 肺膿瘍을 形成한 症例

A Case of Unusual Lung Abscess Induced by Psoas Abscess in Tuberculosis of the Spine

대한정형외과학회지 1969년 4권 3호 p.47 ~ 53
安華鏞, 李相國,
소속 상세정보
安華鏞 (  ) - 延世大學校 醫科大學 整形外科學敎室
李相國 (  ) - 延世大學校 醫科大學 整形外科學敎室

Abstract


A case of unusual .lung abscess induced by psoas abscess in tuberculosis of the thoracolumbar spine complicated with complete spastic paraplegia is reported. Usually the tuberculous psoas abscess drains out along the fascia and ligament by it´s own gravity. The common site of drainage of the tuberculous psoas abscess are the Petit triangle, the femoral triangle, the sciatic notch, the adductor region of the thigh and the lumbar region. In the reported case the left psoas abscess penetrated into the, diaphragm and induced a lung. abscess.
This was confirmed by operation as no communication was inspected between the paravertebral. abscess. The abscess. was completely evacuated through thoracotomy and the. tuberculous..lesion in T-11, 12 was operated by completee removal of focus and simultaneous anterior spinal fusion, another lesion in the lumbar spine, was operated by radical operation three weeks after first operation. The paraplegia was recovered three months after first, operation with satisfactory bony union and the patient was allowed to be up and. about. A satisfactory result was obtained by radical ressection and anterior interbody fusion of T-11, 12 of the diseased vertebrae. through the left extrapleural approach. This was followed by focal deberidement of right psoas abscess.

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