Korean J Thorac Cardiovasc Surg.
1998 Feb;31(2):190-193.
Primary Sternal Tuberculosis with Spontaneous Fracture Treated by Resection and Reconstruction: A Case Report
- Affiliations
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- 1Department of Thoracic & Cardiovascular Surgery, Kangbuk Samsung Hospital, Seoul, Korea.
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.
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