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Citelli's Abscess Following Otitis Media: A Case Report.
Anjan-Kumar Sahoo1, Chappity Preetam1, Dillip-Kumar Samal1
1Department of ENT and Head and Neck Surgery, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Iranian Journal of Otorhinolaryngology
|June 8, 2017
Summary
Citelli's abscess, an extratemporal complication of otitis media, is rarely seen. This case highlights prompt diagnosis and surgical drainage for effective management of this unusual ear infection complication.
Area of Science:
- Otolaryngology
- Infectious Disease
Background:
- Citelli's abscess is an extratemporal complication of otitis media.
- It arises from pus tracking from the mastoid tip along the digastric muscle.
- This presentation is exceptionally rare, with limited existing data.
Observation:
- A 10-year-old female presented with a month of fever, headache, and facial pain.
- Examination revealed a large, tender, fluctuant swelling in the temporal and occipital regions.
- Otological findings included left-sided chronic suppurative otitis media with cholesteatoma and purulent discharge.
Findings:
- A large abscess (500 ml pus) was drained via a postaural incision under general anesthesia.
- The patient showed immediate signs of recovery post-drainage.
- A modified radical mastoidectomy was performed after antibiotic treatment to address the primary ear pathology.
Implications:
- Early diagnosis and urgent drainage are crucial for managing Citelli's abscess.
- Radiology aids in prompt identification and management planning.
- Surgical intervention for the underlying otitis media is necessary after initial infection control.
