Granulation Tissue Formed by Stimulating K-Wire Mimicking Tuberculous Cervical Lymphadenopathy: A Case Report

Gu-Hee Jung; Tae-Hun Kim; Hyun-Ik Cho

doi:10.12671/jkfs.2014.27.3.227

Journal List > J Korean Fract Soc > v.27(3) > 1037989

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Jung, Kim, and Cho: Granulation Tissue Formed by Stimulating K-Wire Mimicking Tuberculous Cervical Lymphadenopathy: A Case Report

Case Report

Journal of the Korean Fracture Society 2014; 27(3): 227-231.

Published online: 16 July 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.3.227

Granulation Tissue Formed by Stimulating K-Wire Mimicking Tuberculous Cervical Lymphadenopathy: A Case Report

Gu-Hee Jung, M.D., Tae-Hun Kim, M.D., Hyun-Ik Cho, M.D.

Department of Orthopedic Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.

Address reprint requests to: Gu-Hee Jung, M.D. Department of Orthopedic Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 602-702, Korea. Tel: 82-51-990-6229, Fax: 82-51-243-0181, jyujin2001@kosin.ac.kr

Received 16 September 2013 Revised 12 June 2014 Accepted 12 June 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pins and wires are still used frequently in surgeries of the shoulder; however, these can cause breakage or migration to surrounding tissues, leading to complications. We report on case of a patient with a neck mass who had a past history of pulmonary tuberculosis and distal clavicle fracture with internally fixated state. She was misdiagnosed as tuberculous cervical lymphadenopathy and treated for approximately one year, but was finally revealed as granulation tissue around the internally fixated distal clavicle fracture site, thus, mass excision and metal removal was performed. This case shows the importance of a proper selection device, internal fixation technique, duration, and close follow-up after the operation.

Keywords: Clavicle, Bone wires, Granulation tissue

Figures and Tables

Fig. 1

Preoperative plane radiograph showed mild medial migration of K-wire.

Fig. 2

Axial cervical computed tomography scans. About 2.5 cm sized rim enhancing low density mass was seen at supraclavicular area. The tip of K-wire was in the mass. Black arrow: rim enchanced mass. White arrow: K-wire. (A) Lung setting, (B) bone setting.

Fig. 3

Coronal cervical computed tomography scans confirmed migration of the K-wire into the mass, showing irritation of the mass by tip of the K-wire.

Fig. 4

(A) Intraoperative finding of soft tissue mass during excional biopsy. (B) After excisional biopsy about 5.0×3.0×1.5 cm sized mass was removed.

Fig. 5

At the pathologic study nonspecific granulation tissue was seen (A, B), and local fibrosis was seen (black arrow) (H&E; A: ×40, B: ×100).

Notes

Financial support: None.

Conflict of interest: None.

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