Percutaneous drainage of a parotid gland abscess under contrast-enhanced ultrasound guidance: A case report. (August 2018)

• Record Type: Journal Article
• Authors: Scattergood, Sean; Moore, Stephen; Prior, Andrew; Yusuf, Gibran T; Sidhu, Paul S
• Is Part Of: Ultrasound. Volume 26:Number 3(2018:Aug.)
• Page Start: 182
• Page End: 186
• Publication Date: 2018-08
• Subjects: Ultrasound -- contrast-enhanced ultrasound -- ENT -- parotid gland -- SonoVue -- drainage -- salivary gland -- abscess; Ultrasonic imaging -- Periodicals; Ultrasonography -- Periodicals; 616.0754305
• DOI: 10.1177/1742271X18766705
• Languages: English
• ISSNs: 1742-271X

Abstract

A parotid gland abscess is uncommon and if not responding to conservative management, requires surgical intervention. However, surgery is invasive with the risk of complicating facial nerve damage and possible poor cosmetic outcome. We present a case of a parotid gland abscess in association with an underlying Warthin's tumour requiring percutaneous drainage, as patient co-morbidity precluded a safe surgical approach. Percutaneous drainage was aided by a contrast-enhanced ultrasound examination, which permitted delineation of the fluid aspects of the collection from the underlying tumour and allowed successful percutaneous ultrasound-guided aspiration without complication.