Pott's puffy tumour in a 5-year old boy: the role of ultrasound and contrast-enhanced CT imaging; surgical case report
Vanderveken, O.M.; De Smet, K.; Dogan-Duyar, S.; Desimpelaere, J.; Duval, E.L.I.M.; De Praeter, M.; Van Rompaey, D.
B-Ent 8(2): 127-129
2012
ISSN/ISBN: 1781-782X PMID: 22896932 Document Number: 661269
We report a case of Pott's puffy tumour, a subperiosteal abscess of the frontal bone associated with an underlying frontal osteomyelitis, in a 5-year-old boy. Ultrasonography played a crucial role in the diagnosis of our patient, suggesting the presence of a Pott's puffy tumour with epidural abscess by showing a subperiosteal abscess associated with erosion of the frontal bone. Subsequently, the diagnosis of Pott's puffy tumour with epidural abscess was confirmed by contrast-enhanced CT scanning. Prompt neurosurgical intervention with drainage of abscesses and debridement of bone sequestrate, together with prolonged antibiotic therapy, significantly contributes to a favorable outcome.