Öz
Rice bodies with synovial origin look like cartilagie and they are usually composed of fibrin. Tuberculosis, rheumatoid arthritis or other seronegative arthropathies may be the etiology. In this report, a 48-year-old women patient was presented with mild pain and swelling soft tissue masses in both shoulder measuring 7x7 cm. There was no history of trauma. Laboratory tests were normal. Exhaustive investigations for rheumatic disease were negative. Soft tissue masses was regarded as subacromial origin. Both masses were surgically removed and were found to include numerous rice bodies. The patient regained a full and painless range of motion in about 15 days. In the 2-year follow-up, she had neither complaints nor signs of rheumatological disease.
Anahtar Kelimeler
Kaynakça
- Urruela AM, Rapp TB, Egol KA. Massive subacromial-subdeltoid bursitis with rice bodies secondary to an orthopedic implant. Am J Orthop 2012;41(9):418-21.
- Rogers MH. The formation of 'rice bodies’ in tuberculosis. J Bone Joint Surg 1927;9A:636-8.
- Li-Yu J, Clayburne GM, Sieck MS, Walker SE, Athreya BH, DeHoratius RJ. Calcium apatite crystals in synovial fluid rice bodies. Ann Rheum Dis 2002;61(5):387-90.
- Aşık M, Eralp L, Çetik Ö, Altınel L. Rice bodies of synovial origin in the knee joint. Artroskopi 2001;17(1):1-4.
- Wissman RD. Rheumatoid tenosynovitis with rice-body formation. Radiology 2007;36(5):44-5.
- Reid HS, McNally E, Carr A. Soft tissue mass around the shoulder. Ann Rheum Dis1998;57(1):6-8.
- Popert AJ, Scott DL, Wainwright AC, Walton KW, Williamson N, Chapman JH. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Ann Rheum Dis 1982;41(2):109-17.
- McCarty DJ, Cheung HS. Origin and significance of rice bodies in synovial fluid. Lancet 1982;25(8300):715-6.
- Tamai O, Mamadi T, Muto Y, Toda T. Large synovial cyst of the pelvic containing rice bodies. A case report. Int Orthop 1998;22(5):325-7.
- Chau CLF, Griffith JF, Chan PT, Lui TH, Yu KS, Ngai WK. Rice -body formation in atypical mycobacterial tenosynovitis and bursitis: Findings on sonography and MR imaging. AJR 2003;180(5):1455-9.
Öz
Pirinç tanesi cisimcikleri, kıkırdak görünümlü, genellikle fibrin yapısında sinoviya kökenli cisimciklerdir. Etiyolojisinde tuberküloz, romatoid artrit, hipokomplementemik artrit ve diğer seronegatif artropatilerin rol oynadığı düşünülmektedir. Bu yazıda, her iki omuzunda yaklaşık 7x7 cm şişliği ve hafif ağrısı olan 48 yaşındaki kadın hasta değerlendirildi. Travma öyküsü yoktu. Laboratuvar testleri normaldi. Romatizmal hastalıklarla ilgili kapsamlı incelemeleri negatif bulundu. Kitlelerin subakromial kökenli oldukları öngörüldü. Her iki kitle cerrahi olarak çıkarıldı ve çok sayıda pirinç tanesi cisimciği içerdiği görüldü. On beş gün içerisinde tam ve ağrısız omuz hareketleri elde edildi. 2 yıllık takip sonunda hastanın herhangi bir yakınması olmadı ve romatolojik bir hastalığa da rastlanmadı.
Anahtar Kelimeler
Kaynakça
- Urruela AM, Rapp TB, Egol KA. Massive subacromial-subdeltoid bursitis with rice bodies secondary to an orthopedic implant. Am J Orthop 2012;41(9):418-21.
- Rogers MH. The formation of 'rice bodies’ in tuberculosis. J Bone Joint Surg 1927;9A:636-8.
- Li-Yu J, Clayburne GM, Sieck MS, Walker SE, Athreya BH, DeHoratius RJ. Calcium apatite crystals in synovial fluid rice bodies. Ann Rheum Dis 2002;61(5):387-90.
- Aşık M, Eralp L, Çetik Ö, Altınel L. Rice bodies of synovial origin in the knee joint. Artroskopi 2001;17(1):1-4.
- Wissman RD. Rheumatoid tenosynovitis with rice-body formation. Radiology 2007;36(5):44-5.
- Reid HS, McNally E, Carr A. Soft tissue mass around the shoulder. Ann Rheum Dis1998;57(1):6-8.
- Popert AJ, Scott DL, Wainwright AC, Walton KW, Williamson N, Chapman JH. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Ann Rheum Dis 1982;41(2):109-17.
- McCarty DJ, Cheung HS. Origin and significance of rice bodies in synovial fluid. Lancet 1982;25(8300):715-6.
- Tamai O, Mamadi T, Muto Y, Toda T. Large synovial cyst of the pelvic containing rice bodies. A case report. Int Orthop 1998;22(5):325-7.
- Chau CLF, Griffith JF, Chan PT, Lui TH, Yu KS, Ngai WK. Rice -body formation in atypical mycobacterial tenosynovitis and bursitis: Findings on sonography and MR imaging. AJR 2003;180(5):1455-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2017 |
| Gönderilme Tarihi | 24 Temmuz 2016 |
| Yayımlandığı Sayı | Yıl 2017 |