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Atraumatic Infected Septal Hematoma in a Pediatric Patient

Authors :
Osher Shefer
Jacqueline Le
Eshaan Daas
Eugene Hu
Source :
Clinical Practice and Cases in Emergency Medicine, Vol 8, Iss 3, Pp 311-313 (2024)
Publication Year :
2024
Publisher :
eScholarship Publishing, University of California, 2024.

Abstract

Case Presentation: We present a case of a 10-year-old male who developed an atraumatic, nasal septal hematoma with abscess following several days of rhinorrhea and cough. His chief complaint to the emergency department was a two-day history of nasal swelling and discomfort, associated with difficulty breathing through his nose. The patient was well-appearing with swelling and tenderness along the external nasal ridge and nasal septal swelling that occluded both nares. Contrast-enhanced maxillofacial computed tomography revealed a rim-enhancing, fluid-filled collection to the anterior nasal septum. The patient underwent successful incision and drainage by otolaryngology. Discussion: Infected septal hematomas are rare but important to recognize as they can result in septal deformity and potentially life-threatening sequelae, such as intracranial infections. Most are secondary to nasal trauma in adult patients. This case highlights a unique presentation of atraumatic septal hematoma with abscess formation in an immunocompetent pediatric patient.

Details

Language :
English
ISSN :
2474252X
Volume :
8
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Clinical Practice and Cases in Emergency Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.5816cf99c4119a454f5fb3cd93bf5
Document Type :
article
Full Text :
https://doi.org/10.5811/cpcem.19476