Pott's puffy tumour in a 5-year old boy: the role of ultrasound and contrast-enhanced CT imaging; surgical case report.
We report a case of Pott's puffy tumour, a subperiosteal abscess of the frontal bone associated with an underlying frontal osteomyelitis, in a 5-year-old boy. Ultrasonography played a crucial role in the diagnosis of our patient, suggesting the presence of a Pott's puffy tumour with epidural abscess by showing a subperiosteal abscess associated with erosion of the frontal bone. Subsequently, the diagnosis of Pott's puffy tumour with epidural abscess was confirmed by contrast-enhanced CT scanning. Prompt neurosurgical intervention with drainage of abscesses and debridement of bone sequestrate, together with prolonged antibiotic therapy, significantly contributes to a favorable outcome.
Department of Otorhinolaryngology, Head and Neck Surgery, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium. olivier.vanderveken@ua.ac.be
O M
OM
Vanderveken
K
K
De Smet
S
S
Dogan-Duyar
J
J
Desimpelaere
E L I M
EL
Duval
M
M
De Praeter
D
D
Van Rompaey
D002675:Child, Preschool; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D059369:Pott Puffy Tumor / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography