Absceso subescapular espontáneo. Caso clínico

  1. Fernández Pérez, M. 1
  2. Orradre Burusco, I 1
  3. Mondragón Rubio, J. 1
  4. Azcona Martínez de Baroja, L. 1
  5. Romero Redondo, I. 1
  6. Cornejo Jiménez, D. 1
  1. 1 Servicio de Cirugía Ortopédica y Traumatología Complejo Hospitalario de Navarra C/ Irunlarrea, 3 31008 Pamplona
Zeitschrift:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Datum der Publikation: 2020

Ausgabe: 43

Nummer: 1

Seiten: 99-102

Art: Artikel

DOI: 10.23938/ASSN.0857 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Anales del sistema sanitario de Navarra

Zusammenfassung

Infections of the subscapular space are very infrequent entities, which is why their diagnosis (for which it is crucial to carry out magnetic resonance imaging or, failing that, computerized tomography) can prove complicated. This difficulty in making the diagnosis conditions the speed of treatment (surgical draining that can be accompanied by antibiotherapy), which is crucial for the medium and long-term prognosis.We present the case of a patient who developed a spontaneous subscapular abscess that was drained using a delto-pectoral approach, with the subscapular space accessed via a medial route to the coracoids. The relevance of this case lies in its singular character and in the description of an approach that has only been used in two prior cases in the literature.

Bibliographische Referenzen

  • Citas SAN JOAQUIN VH, KIMBALL JB. Subscapular abscess due to Haemophilus influenza type B. Pediatrics 1980; 65: 331-332. https://doi.org/10.1542/peds.65.2.331
  • BABAYIĞIT A, MAKAY B, DEMIRCIOĞLU F, CAKMAKÇI H, UNSAL E. Subscapular abscess after blunt trauma. Pediatr Emerg Care 2009; 25: 399-400. https://doi.org/10.1097/PEC.0b013e3181a7927d
  • YILMAZ G, STANDARD SC. Periscapular abscess: unusual cause of shoulder pain in children. J Pediatr Orthop B 2012; 21: 310-312. https://doi.org/10.1097/bpb.0b013e328349139a
  • GIUGALE JM, BOSCH PP, GRUDZIAK JS. Subscapular abscess in a nine-year-old female patient. JBJS Case Connect 2015; 5: e13. https://doi.org/10.2106/jbjs.cc.n.00102
  • HANY MOURKUS, RAMANAN VADIVELU, JAMES PHILLIPS. Literature review and a case report of spontaneous subscapular abscess in a child. Eur J Orthop Surg Traumatol 2018; 28: 1235-1240. http://dx.doi.org/10.1007/s00590-018-2156-4.
  • NOWINSKI RJ, DUCHENE C. Spontaneous septic subscapular abscess. A case report. J Bone Joint Surg 2004; 86: 1302-1304. https://doi.org/10.2106/00004623-200406000-00028
  • SAXENA P., KONSTANTINOV I., ZELEI D., NEWMAN MA. Spontaneous subscapular abscess: a rare surgical condition. Heart Lung Circ 2008; 17: 517-518. https://doi.org/10.1016/j.hlc.2007.02.095
  • PATEL K, SPOWART E, SOCHOROVA E, DIEGO N, MAMARELIS G, SOHAIL MZ. Subscapular abscess caused by Panton-Valentine leukocidin-Positive Staphylococcus aureus: an atypical presentation. Case Rep Orthop 2018; 2018: 8256428. http://dx.doi.org/10.1155/2018/8256428.
  • CHRISTMAN-SKIELLER C, MCINTYRE LK, PLEVIN R, FRIEDRICH JB, SMITH DG. A Posterolateral Approach to the Scapula for Evacuation of a Subscapular Abscess. JBJS Case Connect 2017; 7: e57d. http://dx.doi.org/10.2106/JBJS.CC.16.00241.
  • HANDORF CR. Fatal subscapular abscess. SouthMed J 1983; 76: 271. http://dx.doi.org/10.1097/00007611-198302000-00039
  • SCHMITZ GR. How do you treat an abscess in the era of increased community associated methicillin-resistant Staphylococcus aureus (MRSA)? J Emerg Med 2011; 41: 276-281. https://doi.org/10.1016/j.jemermed.2011.01.027
  • DUONG M, MARKWELL S, PETER J, BARENKAMP S. Randomized, controlled trial of antibiotics in the management of community-acquired skin abscesses in the pediatric patient. Ann Emerg Med 2010; 55: 401-407. https://doi.org/10.1016/j.annemergmed.2009.03.014