BACKGROUND Sinusitis-derived subperiosteal orbital collection is uncommon and is usually diagnosed as subperiosteal orbital abscess or,rarely,as hematoma.We report a unique and even rarer case of subperiosteal orbital...BACKGROUND Sinusitis-derived subperiosteal orbital collection is uncommon and is usually diagnosed as subperiosteal orbital abscess or,rarely,as hematoma.We report a unique and even rarer case of subperiosteal orbital collection,which is actually a complication of hematoma and abscess.CASE SUMMARY A 26-year-old female presented with left eyeball pain and ipsilateral chemosis.She had no history of head trauma or upper respiratory infection.Her blood cell count showed an increase in leukocytes.Fiberoptic rhinolaryngoscopy revealed only mucosal edema of the left olfactory crest without apparent discharge.The computed tomography scan results showed an opaque left posterior ethmoid cell with a thickened bony shell and fusiform changes in the periosteal elevation of the medial wall of the left orbit.Emergent surgery revealed an ethmoid mucocele complicated with subperiosteal orbital hematoma and abscess.The pathology of the lamina papyracea between the mucocele and subperiosteal collection was necrotic,and the overlying mucosa was de-epithelialized.CONCLUSION Subperiosteal orbital hematoma with abscess in a patient with sinusitis adds to the current knowledge of orbital complications of sinusitis.展开更多
This article presents sonographic diagnosis of acute hematogenous osteomyelitis in early stage.24 clildren with clinically suspected acute hematogtnous osteomyelits were detected to have subptrosteal abscesses by ultr...This article presents sonographic diagnosis of acute hematogenous osteomyelitis in early stage.24 clildren with clinically suspected acute hematogtnous osteomyelits were detected to have subptrosteal abscesses by ultrasond during four to fourteen days after onset.The mean length and anteroposterior distance of the subperiosteal abscesses were 86.4 mm and 10.7 mm,respectively.Of 24 cases of subperiosteal atscesses,aspiration performed under ultrasound guidance revealed purulent fluid in al and 23 were verified surgically.The results obtained indicate that ultrasound can be used it diagnosis of actue hematogerous osteomyelitis in the early stage.the earliest case was diagrosed by ultrasound 4 days afttr onset.By use of ultrasound, differentiation diagnosis of acute hematogenous osteomyelitis from other diseases such as cellulitis,soff tissue abscess,acutt septic arthritis and maignant bone tumors is also discussed.展开更多
文摘BACKGROUND Sinusitis-derived subperiosteal orbital collection is uncommon and is usually diagnosed as subperiosteal orbital abscess or,rarely,as hematoma.We report a unique and even rarer case of subperiosteal orbital collection,which is actually a complication of hematoma and abscess.CASE SUMMARY A 26-year-old female presented with left eyeball pain and ipsilateral chemosis.She had no history of head trauma or upper respiratory infection.Her blood cell count showed an increase in leukocytes.Fiberoptic rhinolaryngoscopy revealed only mucosal edema of the left olfactory crest without apparent discharge.The computed tomography scan results showed an opaque left posterior ethmoid cell with a thickened bony shell and fusiform changes in the periosteal elevation of the medial wall of the left orbit.Emergent surgery revealed an ethmoid mucocele complicated with subperiosteal orbital hematoma and abscess.The pathology of the lamina papyracea between the mucocele and subperiosteal collection was necrotic,and the overlying mucosa was de-epithelialized.CONCLUSION Subperiosteal orbital hematoma with abscess in a patient with sinusitis adds to the current knowledge of orbital complications of sinusitis.
文摘This article presents sonographic diagnosis of acute hematogenous osteomyelitis in early stage.24 clildren with clinically suspected acute hematogtnous osteomyelits were detected to have subptrosteal abscesses by ultrasond during four to fourteen days after onset.The mean length and anteroposterior distance of the subperiosteal abscesses were 86.4 mm and 10.7 mm,respectively.Of 24 cases of subperiosteal atscesses,aspiration performed under ultrasound guidance revealed purulent fluid in al and 23 were verified surgically.The results obtained indicate that ultrasound can be used it diagnosis of actue hematogerous osteomyelitis in the early stage.the earliest case was diagrosed by ultrasound 4 days afttr onset.By use of ultrasound, differentiation diagnosis of acute hematogenous osteomyelitis from other diseases such as cellulitis,soff tissue abscess,acutt septic arthritis and maignant bone tumors is also discussed.
