Application of superficial ultrasonography in diagnosing and guiding management of a refractory scalp wound complicated by epidural abscess.
10.3724/zdxbyxb-2025-0162
- Author:
Yu LING
1
;
Hongyang HU
2
;
Gang XIANG
3
;
Panpan LYU
4
Author Information
1. Department of Ultrasound, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. 3317068@zju.edu.cn.
2. Stoma and Wound Care Unit of the Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
3. Department of Ultrasound, Jiangshan People's Hospital, Quzhou 324100, Zhejiang Province, China.
4. Department of Ultrasound, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. panpanlv@zju.edu.cn.
- Publication Type:English Abstract
- Keywords:
Abscess;
Case report;
Chronic wound;
Refractory wound;
Ultrasonography
- MeSH:
Humans;
Scalp/diagnostic imaging*;
Middle Aged;
Male;
Epidural Abscess/etiology*;
Ultrasonography;
Surgical Flaps;
Surgical Wound Infection/surgery*;
Dura Mater/surgery*
- From:
Journal of Zhejiang University. Medical sciences
2025;54(5):637-640
- CountryChina
- Language:Chinese
-
Abstract:
A middle-aged patient presented with persistent purulent discharge from a scalp incision five years after undergoing craniotomy with artificial dura mater implantation. The wound showed no significant improvement despite a month of systemic antibiotic therapy and local debridement. Subsequent superficial ultrasonography revealed complete separation of the artificial dura mater implant area from the surrounding flap tissue, with a loss of local blood supply. Based on these findings, the artificial dura mater was surgically removed, and a free skin flap transplantation was performed to successfully cover the wound. The wound was well-healed at the 10-month postoperative follow-up.
