J Korean Ophthalmol Soc.  2013 May;54(5):798-802. 10.3341/jkos.2013.54.5.798.

A Case of Pott's Puffy Tumor from Recurrent Upper Eyelid Abscess

• Kim NE
• Kim SS

• KMID: 2217049
• DOI: http://doi.org/10.3341/jkos.2013.54.5.798

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 corrected 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 x 12.6 x 10 mm) with peripheral enhancement. An excisional biopsy was performed. Histopathologic examination 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.

Keyword

Pott's puffy tumor; Upper eyelid abscess

MeSH Terms

Abscess
Biopsy
Diagnosis, Differential
Eye
Eyelids
Follow-Up Studies
Granulation Tissue
Humans
Inflammation
Male
Pott Puffy Tumor
Visual Acuity

Figure

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  Figure 1. Photograph of the patient demonstrating a 15 × 15 mm-sized mass in the left upper eyelid.

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  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.

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  Figure 3. Microscopic examination of the frontal recess muco-sa shows number of lymphocytes and plasma cells infiltration (H&E stain, ×200).

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  Figure 4. Postoperative OMU CT demonstrating no abnormal intracranial findings (complete removal state of mass lesion in the frontal sinus).

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  Figure 5. The patient’s photograph taken 14 months after sur-gery shows no recurrence.

Reference

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