Case 108: Post-injection Abscess || Ultrasound

         

Clinical Features:

A 45-year-old female diabetic patient came with 

- Painful left lateral arm swelling.

- H/o injection at that region.

Ultrasound Features:

- An irregular, complex fluid collection with internal low-level echoes & surrounding subcutaneous tissue edema are noted within the subcutaneous layer at the lateral aspect of the forearm.

- Color Doppler shows increased surrounding vascularity.

Remember:

When an abscess is found near a bone, check the adjacent bony irregularity & communication with the bone. 

Ultrasound Diagnosis:

Superficial abscess of the left lateral arm.

Ultrasound Images:

Irregular, complex fluid collection with internal low-level echoes & surrounding subcutaneous tissue edema are noted within the subcutaneous layer at the lateral aspect of the forearm

Color Doppler shows increased peripheral vascularity

Spectral Doppler shows monophasic hyperemic flow in a peripheral superficial artery.

YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link