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Eur J Cardiothorac Surg 2002;22:439
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

A giant sternal abscess following traumatic sternal fracture

Theodore Velissaris*, David Pontefract, Sunil Ohri

Wessex Cardiothoracic Centre, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK

Received 27 March 2002; received in revised form 2 May 2002; accepted 20 May 2002.

* Corresponding author. Tel.: +44-23-80777222; fax: +44-23-80796277
e-mail: the0{at}aol.com

Key Words: Abscess • Sternal fracture • Complications

A 60-year-old male with no associated comorbidities presented with a giant abscess 4 weeks after a traumatic sternal fracture. Thorough debridement was undertaken followed by antibiotic therapy for Staphylococcus aureus and negative-pressure therapy using a vacuum pump dressing for 8 weeks. Outcome was satisfactory and no further surgery was required (Figs. 1 and 2 ).



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  		Fig. 1. The picture shows sagittal computerized tomography reconstructions of a giant abscess (12x16x10 cm3) involving the manubrium, sternoclavicular and first two sternocostal joints. The manubrium and surrounding joints have been destroyed by the infectious process.

 


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  		Fig. 2. The picture shows coronal computerized tomography reconstructions of a giant abscess (12x16x10 cm3) involving the manubrium, sternoclavicular and first two sternocostal joints. The manubrium and surrounding joints have been destroyed by the infectious process.

 



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