Delayed Aseptic Swelling After Fixation of Talar Neck Fracture with a Biodegradable Poly-L-Lactide Rod: Case Reports

1998 ◽  
Vol 19 (9) ◽  
pp. 634-637 ◽  
Author(s):  
Nobuyuki Yoshino ◽  
Shinro Takai ◽  
Yoshinobu Watanabe ◽  
Keiji Kamata ◽  
Yasusuke Hirasawa
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Case Reports ◽  
Laboratory Data ◽  
Resonance Imaging ◽  
Low Intensity ◽  
Biodegradable Poly ◽  
Neck Fracture ◽  
Weighted Magnetic Resonance Imaging

A 63-year-old woman complained of acute swelling and pain in her ankle at 15 months, after fixation of a talar neck fracture with poly-L-lactide rods. Roentgenographic and laboratory data revealed no abnormalities, but T1-weighted magnetic resonance imaging showed a diffuse area of low intensity in the talus. After nonweightbearing for 1 month, local findings had disappeared and the area of low intensity shown by magnetic resonance imaging had decreased without surgical treatment. Although there have been some reports of aseptic swelling or synovitis after fixation of a fracture with polyglycolide rods or screws, there has been no report of such cases with poly-L-lactide rods or screws.

scholarly journals The Management of the Cotyledonoid Leiomyoma of the Uterus: A Narrative Review of the Literature

2021 ◽  
Vol 18 (16) ◽  
pp. 8521
Author(s):  
Francesca Buonomo ◽  
Sofia Bussolaro ◽  
Clarice de Almeida Fiorillo ◽  
Giorgio Giorda ◽  
Federico Romano ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Frozen Section ◽  
Case Reports ◽  
Malignant Lesion ◽  
Ultrasound Image ◽  
Case Series ◽  
Conservative Surgery ◽  
Resonance Imaging

Cotyledonoid leiomyoma is an unusual uterine myoma due to some ultrasound features that mimic a malignant lesion facilitating the choice of radical surgery. This study aims to summarize the ultrasound and the magnetic resonance imaging aspects of this atypical lesion, and also discuss surgical treatment and pathological exam. It included all English case reports or case series until August 2021 found through PubMed, Google Scholar, and Scopus. A total of 94 cotyledonoid leiomyomas were reported, with a median tumor size of 12 cm. The typical ultrasound image is characterized by a large solid heterogeneous mass, with high vascularity, no shadowing, and indistinct margins within the myometrium. Magnetic resonance imaging shows the presence of merging isointense nodules to the myometrium in T1-weighted images, hyperintense in T2-weighted images, and contrast agent enhancement. Surgical treatment consists of hysterectomy (75 cases, 80%) or myomectomy (19 cases, 20%), without evidence of recurrence if complete. The placenta-like appearance observed during surgery supports this rare fibroid hypothesis. The intraoperative frozen section can be considered. Microscopically, no atypical cells, signs of mitotic activity or cell necrosis are found. To conclude, some preoperative and intraoperative aspects of this lesion are distinctive and may lead surgeons to opt for conservative surgery.

Sign in / Sign up

Export Citation Format

Share Document