PDF(Pubmed)
Abstract：
Rice bodies, a rare finding in clinical practice, are commonly observed in the shoulders and knees of affected individuals. However, they can occur in the wrist as well. Herein, we report a case of a female presenting with painful swelling in the right wrist that lasted with a history of carpal tunnel syndrome, rheumatoid arthritis, and history of median nerve decompression two years ago. A potential diagnosis of infectious diseases and gout was excluded through negative cultures and laboratory findings. X-rays showed no significant findings; however, magnetic resonance imaging revealed findings suggestive of rice bodies that were confirmed by additional proton dense fat-saturated imaging. The mass was then removed by extensive debridement and sent for pathological assessment, which showed multiple nodules containing fibrin and polymorphonuclear cells. The patient did not experience recurrence during the follow-up period. Rice bodies, although rare, can occur in the wrist, and this imposes several challenges associated with their diagnostic and management protocols.
摘要：
水稻尸体,临床实践中罕见的发现,通常在受影响的人的肩膀和膝盖上观察到。然而,它们也可以发生在手腕上。在这里，我们报告了一例女性，表现为右手腕疼痛性肿胀，并有腕管综合征病史，类风湿性关节炎,2年前有正中神经减压史.通过阴性培养和实验室检查结果排除了传染病和痛风的潜在诊断。X射线没有明显的发现；然而，磁共振成像显示的结果暗示着水稻体，并通过额外的质子致密脂肪饱和成像证实。然后通过广泛清创术去除肿块，并送去病理评估，显示含有纤维蛋白和多形核细胞的多个结节。患者在随访期间未出现复发。水稻尸体,虽然罕见，可以发生在手腕，这给他们的诊断和管理协议带来了一些挑战。
