Journal article
Sub-galeal abscess: A rare sequel of an infected scalp sebaceous cyst


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Author list: Mamoun Nabri, Mohammed Alharbi, Amnah Al-Sayyid, Kawthar Alabdrabalrasol, Khairi Hassan and Hussam Al-Jehani
Publisher: Elsevier / Elsevier: Creative Commons
Publication year: 2020
Volume number: 76
Issue number: 2020
Start page: 30
End page: 32
Number of pages: 3
ISSN: 2210-2612
Web of Science ID: 000608407300007
PubMed ID: 33010610
Scopus ID: 85091928907
eISSN: 2210-2612


INTRODUCTION: Subgaleal abscess is a rare condition in which suppuration under the galea aponeurotica(epicranial aponeurosis) occurs. Diagnosis of subgaleal abscess is guided by high index of suspicion,imaging of the head by computed topography will confirm the diagnosis and detect osteomyelitis orintracranial extension.PRESENTATION OF CASE: We describe a case of extensive subgaleal abscess that presented as an infectedscalp sebaceous cyst, in male diabetic patient, its management and the role of vaccum assisted closure(V.A.C.) dressing which was never described in such atypical presentation.DISCUSSION: The subgaleal space is the between the galea aponeurotica and periosteum of the cranialbones, subgaleal abscess may result from hematogenous infection or contiguous spread, and the diagnosismay not be initially obvious4The predominant organism isolated from post-traumatic and post-surgicalscalp infections is Staphylococcus aureus (Haines and Chou, 1985). Diagnosis and management will beguided by head CT scan, management of subgaleal abscess should focus on effective intravenous antibiotictherapy, immediate surgical drainage of abscess and debridement of necrotic tissue.CONCLUSION: Subgaleal abscess is a rare complication, imaging can prevent serious complications. Neg-ative pressure wound therapy is an invaluable tool for closure of the wounds.



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Last updated on 2021-08-04 at 09:33