Journal List > J Korean Ophthalmol Soc > v.54(5) > 1009684

Nam and Sang: A Case of Pott’s Puffy Tumor from Recurrent Upper Eyelid Abscess

Abstract

Purpose

To report a case of Pott's puffy tumor from a recurrent upper eyelid abscess.

Case summary

A 73-year-old male visited our clinic with recurrent upper eyelid abscess over the previous 3 months. The patient did not have any evidence of external injuries, systemic inflammations, or any other specific findings. The best cor-rected visual acuity was 0.9 in the right and 0.5 in the left eye with normal IOP. Enhanced CT revealed a focal low density mass (11.3 × 12.6 × 10 mm) with peripheral enhancement. An excisional biopsy was performed. Histopathologic examina-tion revealed chronic inflammation and granulation tissue formation and the patient was diagnosed with Pott's puffy tumor. The patient experienced no discomfort after the excision biopsy. At the 14-month follow-up, there were no signs of recurrence.

Conclusions

Although rare, Pott' puffy tumor should be considered in the differential diagnosis of upper eyelid mass.

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Figure 1.
Photograph of the patient demonstrating a 15 × 15 mm-sized mass in the left upper eyelid.
jkos-54-798f1.tif
Figure 2.
(A) Orbital CT scan demonstrating a focal Low density lesion with peripheral enhancement at the left up-per eyelid in contrast enhancement. (B) MRI scan demonstrating a focal lesion with fistula tract between fontal sinus and soft tissue swelling at the left upper eyelid.
jkos-54-798f2.tif
Figure 3.
Microscopic examination of the frontal recess muco-sa shows number of lymphocytes and plasma cells infiltration (H&E stain, ×200).
jkos-54-798f3.tif
Figure 4.
Postoperative OMU CT demonstrating no abnormal intracranial findings (complete removal state of mass lesion in the frontal sinus).
jkos-54-798f4.tif
Figure 5.
The patient’s photograph taken 14 months after sur-gery shows no recurrence.
jkos-54-798f5.tif
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