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一名5岁男孩的波特氏浮肿性骨膜下脓肿:超声和增强CT成像的作用;手术病例报告

Pott's puffy tumour in a 5-year old boy: the role of ultrasound and contrast-enhanced CT imaging; surgical case report.

作者信息

Vanderveken O M, De Smet K, Dogan-Duyar S, Desimpelaere J, Duval E L I M, De Praeter M, Van Rompaey D

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Queen Paola Children's Hospital, ZNA Middelheim, Antwerp, Belgium.

出版信息

B-ENT. 2012;8(2):127-9.

Abstract

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.

摘要

我们报告了一例波特氏肿,这是一名5岁男孩额骨的骨膜下脓肿,伴有潜在的额骨骨髓炎。超声检查在我们患者的诊断中发挥了关键作用,通过显示与额骨侵蚀相关的骨膜下脓肿,提示存在伴有硬膜外脓肿的波特氏肿。随后,通过增强CT扫描确诊为伴有硬膜外脓肿的波特氏肿。及时的神经外科干预,包括脓肿引流和骨坏死清创,以及长期的抗生素治疗,对取得良好预后有显著作用。

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