Primary Sternal Tuberculosis with Spontaneous Fracture Treated by Resection and Reconstruction: A Case Report.
- Author:
Sang Il BAE
1
;
Mi Hye KIM
;
Tae Yun OH
;
Un Ha JANG
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Kangbuk Samsung Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Sternum;
Tuberculosis
- MeSH:
Abscess;
Biopsy, Fine-Needle;
Female;
Fractures, Spontaneous*;
Humans;
Necrosis;
Osteomyelitis;
Sternum;
Thorax;
Tomography, X-Ray Computed;
Transplants;
Tuberculosis*;
Young Adult
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(2):190-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of primary sternal tuberculosis with destroyed midsternum and bony defect. An 22-year-old female was admitted to our hospital two times for severe sternal pain and spontaneous fracture without history of trauma. On hospital admission, chest X-ray and chest CT showed destruction of midsternum and soft tissue swelling. Fine needle aspiration cytology revealed tuberculous osteomyelitis with cold abscess. And the patient was treated with usual anti-tubeculosis medication for preoperative preparation. At operation, we confirmed midsternal destruction with cold abscess and multiple sinus tracts. After removal of diseased sternal segment and cold abscess, we performed sternal reconstruction with autologus iliac bone graft. The pathologic report was compatible with tuberculous osteomyelitis and caseous necrosis.
