Scattergood Sean, Moore Stephen, Prior Andrew, Yusuf Gibran T, Sidhu Paul S
Department of Surgery, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, London, UK.
Department of Radiology, King's College Hospital NHS Foundation Trust, London, UK.
Ultrasound. 2018 Aug;26(3):182-186. doi: 10.1177/1742271X18766705. Epub 2018 Mar 27.
A parotid gland abscess is uncommon and if not responding to conservative management, requires surgical intervention. However, surgery is invasive with the risk of complicating facial nerve damage and possible poor cosmetic outcome. We present a case of a parotid gland abscess in association with an underlying Warthin's tumour requiring percutaneous drainage, as patient co-morbidity precluded a safe surgical approach. Percutaneous drainage was aided by a contrast-enhanced ultrasound examination, which permitted delineation of the fluid aspects of the collection from the underlying tumour and allowed successful percutaneous ultrasound-guided aspiration without complication.
腮腺脓肿并不常见，如果对保守治疗无反应，则需要手术干预。然而，手术具有侵入性，存在面神经损伤并发症的风险，且可能导致不良的美容效果。我们报告一例腮腺脓肿合并沃辛瘤的病例，由于患者合并症而无法采用安全的手术方法，因此需要经皮引流。对比增强超声检查辅助经皮引流，该检查能够区分积液与潜在肿瘤，并成功在超声引导下经皮穿刺抽吸，未出现并发症。
