Circumferential post-traumatic subgaleal abscess

Case contributed by Dr Jeffrey Hocking

Presentation

Presents with headache and diffuse head swelling 5 days after mechanical fall and scalp laceration.

Patient Data

Age: 55 years
Gender: Male

Unusual progressive diffuse subgaleal soft tissue swelling and oedema without significant inflammatory changes of the overlying subcutaneous fat. No intracranial abscess identified and no bone destruction. Little overall meningeal enhancement identified. Thin rim of peripheral enhancement. The appearances presumably represent a subgaleal effusion or abscess.

Case Discussion

Patient went to theatre and underwent an incision and drainage which demonstrated extensive purulent material. Cultures grew strep pyogenes. 

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Case information

rID: 55603
Case created: 17th Sep 2017
Last edited: 19th Sep 2017
System: Head & Neck
Inclusion in quiz mode: Included

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