Sonographic detection of a stitch abscess.
A 28-year-old man with a ruptured right Achilles tendon underwent primary end-to-end suture immediately after injury. Painful swelling developed 6 months later, and a lump with discharge from a sinus was observed during physical assessment. Sonographic examination with a 10-MHz linear-array transducer demonstrated a hypoechoic mass, 8 x 6 mm, within which were 2 markedly echogenic dots. A stitch abscess was strongly suspected and was confirmed surgically.
Hsu
T C
TC
Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University, Taipei.
Wang
C L
CL
Wang
T G
TG
Shieh
F J
FJ
D000038:Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging*; D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000328:Adult; D006801:Humans; D008297:Male; D012421:Rupture; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013537:Sutures / Q000009:adverse effects*; D014463:Ultrasonography