Intra-abdominal gout mimicking pelvic abscess
Intra-abdominal gout mimicking pelvic abscess
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DOI：
10.1007/s00256-004-0827-1
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发表时间：
2005-04-01
影响因子：
2.1
通讯作者：
Yang, CF
中科院分区：
文献类型：
--
作者：
Chen, CH;Chen, CKH;Yang, CF
痛风是最常见的晶体引起的关节炎。痛风性痛风石通常存款在四肢，特别是脚趾和手指。我们提出一个不寻常的情况下，骨盆内痛风石痛风患者患有慢性痛风性关节炎。腹部及骨盆腔之电脑断层及核磁共振检查显示两髋周围有钙化性痛风石，且骨盆腔内有一囊性病灶，沿着髂腰肌沿着有周边强化。腹腔内痛风石酷似盆腔脓肿。
Gout is the most common crystal-induced arthritis. Gouty tophi typically deposit in the extremities, especially toes and fingers. We present an unusual case of intrapelvic tophaceous gout in a patient suffering from chronic gouty arthritis. CT and MRI of the abdomen and pelvic cavity disclosed calcified gouty tophi around both hips, and a cystic lesion with peripheral enhancement in the pelvic cavity along the course of the iliopsoas muscle. The intra-abdominal tophus mimicked pelvic abscess.