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[波特氏浮肿性肿瘤:鼻窦炎被遗忘的并发症]

[Pott's Puffy tumor: a forgotten complication of sinusitis].

作者信息

Escudero Esteban R, Pérez Piñas I, Del Estad Cabello G

机构信息

Servicio de Radiodiagnóstico, Hospital Universitario Virgen Macarena, Sevilla, España.

出版信息

Radiologia. 2011 Mar-Apr;53(2):175-8. doi: 10.1016/j.rx.2010.05.007. Epub 2010 Jul 24.

Abstract

Pott's puffy tumor is a rare entity characterized by a swelling of the scalp due to a subperiosteal abscess associated to osteomyelitis in the frontal bone. It is often associated with a complication of frontal sinusitis or trauma. Undiagnosed or partially treated frontal sinusitis can lead to Pott's puffy tumor, which requires rapid medical and surgical intervention to prevent complications that increase morbidity and mortality. Since the advent of antibiotics, Pott's puffy tumor has become rare to the point of almost being forgotten. We present a case of Pott's puffy tumor in a 15-year-old boy. This case is even more unusual because the tumor became complicated with orbital and intracranial involvement. The findings at computed tomography provided the key to the diagnosis in this patient.

摘要

波特氏头皮肿胀性骨膜下脓肿是一种罕见病症,其特征为头皮肿胀,由额骨骨髓炎相关的骨膜下脓肿引起。它常与额窦炎或外伤的并发症相关。未被诊断或治疗不彻底的额窦炎可导致波特氏头皮肿胀性骨膜下脓肿,这需要迅速的药物和手术干预,以预防增加发病率和死亡率的并发症。自抗生素问世以来,波特氏头皮肿胀性骨膜下脓肿已变得极为罕见,几乎被遗忘。我们报告一例15岁男孩的波特氏头皮肿胀性骨膜下脓肿病例。该病例更为特殊,因为肿瘤并发眼眶和颅内受累。计算机断层扫描结果为该患者的诊断提供了关键依据。

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