Pott puffy tumor

Case contributed by Dr James Harvey

Presentation

Soft, mildly tender lump on the forehead for past 9 months. History of chronic sinusitis.

Patient Data

Age: 25 years
Gender: Male
CT

There is an extensive bifrontal mucocele with destruction of the anterior and posterior margins of the frontal sinuses.

There is bony destruction involving the left superior orbit. The preseptal space is abutted inferomedially.

A shallow right frontal subdural collection is seen.

Case Discussion

Further evaluation with post-contrast MRI was recommended. This patient was referred to hospital for ENT, neurosurgical and ophthalmology reviews.

A surgical wash-out was performed and streptococcus grew from the intra-operative sample.

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Case information

rID: 70889
Published: 8th Sep 2019
Last edited: 8th Sep 2019
Inclusion in quiz mode: Included

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