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Case Reports
. 2011 Sep;469(9):2670-5.
doi: 10.1007/s11999-011-1965-0.

Orthopaedic case of the month: A 25-year-old man with a paramedian painful lump over the anterior chest wall

Sumit Arora  1 , Sumit Sural, Anil Dhal
Affiliations
Case Reports

Orthopaedic case of the month: A 25-year-old man with a paramedian painful lump over the anterior chest wall

Sumit Arora et al. Clin Orthop Relat Res. 2011 Sep.
No abstract available

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Figures

Fig. 1
Fig. 1
A clinical photograph of the patient shows the 5 × 3 cm cystic swelling in the left rectus abdominis near its proximal attachment (marked with pen).
Fig. 2
Fig. 2
An axial contrast-enhanced CT scan of the lower thorax shows an enlarged left rectus abdominis muscle with a well-defined lesion with fluid attenuation material centrally (white arrow). The underlying ribs and rest of the soft tissue appear normal.
Fig. 3
Fig. 3
An axial T1-weighted MR image shows an enlarged rectus abdominis muscle (white arrow).
Fig. 4
Fig. 4
An axial T1-weighted fat-suppressed image obtained after administration of gadolinium contrast shows an enhanced lesion in the left rectus abdominis muscle (white arrow).
Fig. 5
Fig. 5
The sagittal T1-weighted image with fat suppression reveals a diffusely enhanced lesion in the superior aspect of the left rectus abdominis muscle (white arrows).
Fig. 6A–C
Fig. 6A–C
(A) Low-power (Stain, hematoxylin and eosin, original magnification, ×20) and (B) high-power photomicrographs (Stain, hematoxylin and eosin, original magnification, ×40) show the presence of necrotizing epithelioid granuloma. (C) A high-power photomicrograph (Stain, Ziehl-Neelsen, original magnification, ×100) shows bright red acid-fast-bacilli against the blue background.
Fig. 7
Fig. 7
A CT axial section obtained at the 6-month followup shows the healing response and resolution of the lesion in the left rectus abdominis muscle (white arrow).
See this image and copyright information in PMC

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