Subperiosteal abscess of the orbital roof

Case contributed by Shervin Sharifkashani


Left side proptosis and hypoglobus with a low-grade fever and a history of sinusitis and runny nose.

Patient Data

Age: 10 years
Gender: Male

A fluid collection with air bubbles within the subperiosteal of the left orbital roof, preseptal and lacrimal gland soft tissue swelling, eye exodeviation, proptosis, and hypoglobus are seen. Fluid and thick mucosa in all paranasal sinuses more pronounced in the left side frontal, ethmoid, and the maxillary sinus are noted.

Case Discussion

The case illustrates the non-contrast MDCT features of a rare pus aspiration-proved subperiosteal abscess of the orbital roof due to sinusitis

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