Intestinal pseudotumorous gouty nodulosis: a colonic tophus without manifestation of gouty arthritis
| Autor: | Huiqing Wu, Miguel A. Sanchez, Rosalyn E. Stahl, Michael J. Klein |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain Colon medicine.medical_treatment Arthritis Pathology and Forensic Medicine Colonic Diseases Colon surgery medicine Humans Colectomy business.industry Arthritis Gouty Tophus Transverse colon medicine.disease Gout Surgery Uric Acid Treatment Outcome Vomiting Female Radiology medicine.symptom business Tomography X-Ray Computed Intestinal Obstruction |
| Zdroj: | Human pathology. 35(7) |
| ISSN: | 0046-8177 |
| Popis: | A 37-year-old black woman with nephritis secondary to systemic lupus erythematosus, steroid-induced diabetes mellitus, and hypertension presented with fever, nausea, vomiting, and right upper quadrant abdominal pain with distension. Abdominal computed tomography (CT) scan revealed a colonic mass, and CT- guided fine-needle aspiration demonstrated birefringent crystalline material. After several weeks of antibiotic therapy, the patient underwent laparoscopic examination followed by extended right hemicolectomy for a large mass in the subserosa of the transverse colon. Pathological examination of this mass revealed it to be a gouty tophus. To our knowledge, no case of tophaceous gout presenting as an intestinal mass has previously been reported. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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