Delayed-Onset Surgical Site Infection after Sphenoid Wing Meningioma Resection: A Case Report Highlighting Diagnostic and Management Challenges
DOI:
https://doi.org/10.37275/bsm.v8i12.1142Keywords:
Craniotomy, Delayed-onset, Meningioma, Subgaleal abscess, Surgical site infectionAbstract
Background: Surgical site infections (SSIs) following craniotomy, while uncommon, pose significant risks. Delayed-onset infections can present diagnostic and management challenges. We report a case of delayed-onset SSI after sphenoid wing meningioma resection, emphasizing the importance of vigilance and prompt intervention.
Case presentation: A 26-year-old male underwent craniotomy for a right sphenoid wing meningioma. He presented 13 days post-operatively with a fluctuant swelling at the surgical site. Imaging revealed a subgaleal and epidural abscess. He underwent craniectomy, debridement, and antibiotic therapy, resulting in complete resolution.
Conclusion: Delayed-onset SSIs after craniotomy necessitate a high index of suspicion. Early diagnosis and aggressive management, including surgical debridement and appropriate antibiotics, are crucial for optimal outcomes.
Authors
- Sheila Sumargo1*
- Guata Naibaho1
- Roland Sidabutar1
- 1Department of Neurosurgery, Faculty of Medicine, Universitas Padjajaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Corresponding author Sheila Sumargo — sheilasumargo@gmail.com
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