Atraumatic Infected Septal Hematoma in a Pediatric Patient

Area of Science:

• Otolaryngology
• Pediatric Medicine
• Infectious Diseases

Background:

• Septal hematomas, particularly infected ones, are uncommon but serious conditions.
• They typically result from nasal trauma in adults and can lead to significant complications.
• Recognition is crucial to prevent sequelae like septal deformity and intracranial infections.

Purpose of the Study:

• To report a unique case of an atraumatic nasal septal hematoma with abscess in a pediatric patient.
• To highlight the importance of considering this diagnosis in children presenting with nasal symptoms.
• To emphasize the potential for non-traumatic origins in pediatric cases.

Main Methods:

• Case presentation of a 10-year-old male with atraumatic nasal septal hematoma and abscess.
• Clinical examination revealing nasal swelling, tenderness, and airway obstruction.
• Diagnostic imaging using contrast-enhanced maxillofacial computed tomography (CT).
• Surgical management involving incision and drainage by otolaryngology.

Main Results:

• The patient presented with a two-day history of nasal swelling, discomfort, and difficulty breathing.
• CT scan confirmed a rim-enhancing, fluid-filled collection on the anterior nasal septum.
• Successful surgical drainage of the abscess was performed.

Conclusions:

• Atraumatic septal hematoma with abscess can occur in immunocompetent children.
• This case underscores the need for a broad differential diagnosis in pediatric nasal conditions.
• Prompt recognition and intervention are vital to prevent severe complications.