[Chest granuloma secondary to methyl methacrylate. Case report].
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.
Martínez-Bistrain
Ricardo
R
Servicio de Ortopedia y Traumatología, Hospital Central Sur de Alta Especialidad de PEMEX
Robles García
Verónica
V
Cornejo-Morales
Ivonne
I
D001843:Bone Cements / Q000009:adverse effects*; D015745:Granuloma, Foreign-Body / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D020366:Methylmethacrylate / Q000009:adverse effects*; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology*; D012253:Rib Fractures / Q000601:surgery*; D013896:Thoracic Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D001843:Bone Cements; D020366:Methylmethacrylate