Pott puffy tumour

Case contributed by Dr Bruno Di Muzio

Presentation

Subacute clinical history of frontal headaches that has evolved with a forehead lump.

Patient Data

Age: 55 years
Gender: Male
CT

CT Brain and paranasal sinuses

There is soft tissue obliteration of the anterior ethmoid cells and both frontal paranasal sinuses, with a focal bone defect of the anterior wall of the right frontal sinus that communicates with a soft tissue/subgaleal mass. This mass has a hyperdense rim and low central attenuation. The brain is unremarkable. 

Case Discussion

This patient has been further managed with surgical drainage a frontal region abscess. MRI (not shown) did not show signs of intracranial complications such as subdural empyema. 

Pott puffy tumour refers to a non-neoplastic complication of acute sinusitis characterised by a primarily subgaleal collection, also subperiosteal abscess and osteomyelitis.

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Case information

rID: 56217
Case created: 18th Oct 2017
Last edited: 7th Nov 2017
System: Head & Neck
Inclusion in quiz mode: Included

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