Circumferential post-traumatic subgaleal abscess

Case contributed by Dr Jeffrey Hocking


Presents with headache and diffuse head swelling 5 days after mechanical fall and scalp laceration.

Patient Data

Age: 55 years
Gender: Male

Unusual progressive diffuse subgaleal soft tissue swelling and edema without significant inflammatory changes of the overlying subcutaneous fat. No intracranial abscess identified and no bone destruction. Little overall meningeal enhancement identified. Thin rim of peripheral enhancement. The appearances presumably represent a subgaleal effusion or abscess.

Case Discussion

Patient went to theater and underwent an incision and drainage which demonstrated extensive purulent material. Cultures grew strep pyogenes. 

PlayAdd to Share

Case information

rID: 55603
Published: 17th Sep 2017
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.