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Management of a Pott puffy tumor: Case report and literature review.

Int J Surg Case Rep

October 2024

Department of Otolaryngology, Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Article Synopsis
  • Pott's puffy tumor (PPT) is a rare condition primarily affecting children and teens, characterized by frontal bone osteomyelitis and a subperiosteal abscess, necessitating urgent treatment to avoid serious complications.
  • A case study of a 29-year-old woman revealed a post-traumatic periorbital swelling due to this condition, which was confirmed via CT scan and treated with surgery and antibiotics.
  • Effective management includes prompt diagnosis through imaging, immediate intravenous antibiotics, and potential surgical interventions to prevent life-threatening complications associated with PPT.
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Angiosarcomas represent highly-aggressive malignant lesions of the endothelial cells of blood vessels, affecting mostly the elderly population, and usually located in the scalp or face. As cutaneous angiosarcomas often metastasize to the lung, they can manifest in various forms. We report a case of a 77-year-old male who presented after a posttraumatic blunt scalp lump that was initially diagnosed as infected subgaleal hematoma.

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Purpose:  To examine the relationship between superficial lesions (such as bruises, hematomas, deep abrasions, and soft tissue emphysema) and internal post-traumatic injuries, assessed using whole-body computed tomography (WBCT), and to determine if these are valid markers for internal injuries.

Methods And Materials:  250 patients who underwent WBCT emergency scans for suspected polytrauma were retrospectively analyzed after institutional review board approval of the study. The scans were carried out on patients who met the criteria for standard operating procedures for WBCT emergency scans.

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Objective: Ventriculo-subgaleal shunt is an established treatment of hydrocephalus following germinal matrix haemorrhage in low birth weight neonates. It is also used in treatment of post-infective hydrocephalus in children. We intend to emphasise the impact of its extended use in multiple clinical conditions to reduce the number of permanent shunt implantation in infants.

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