Chest wall cold abscess is a rare presentation. Tubercular localization in the thoracic cage is rare and difficult to diagnose, due to multiple clinical presentations with chest wall cold abscess being the commonest. Cold abscess of the chest wall must be treated more aggressively, and meticulous debridement and wide resection including involved bones and cartilages is required followed by coverage with local muscle or musculocutaneous flaps. Tube drainage under adequate ATT cover is a viable treatment option especially in patients not amenable to surgical intervention. Sinus formation after tube drainage reflects inadequate medical treatment. Small bore tubes should be used, which should be removed once radiological and clinical evidence of diseases resolution is obtained. If Malecot’s catheter is left for a long time in the cold abscess cavity, it get’s retained due to soft tissue in-growth from the collapsing cavity into the catheter tip and wings. The tissue in-growth and fibrosis can lead to complete integration of this foreign body into the tissues, which can only be removed through a surgical procedure. In such cases Malecot’s catheter is removed en-masse with a cuff of granulation tissue to ensure complete clearance of the foreign material.
| Published in | Journal of Surgery (Volume 2, Issue 3) |
| DOI | 10.11648/j.js.20140203.14 |
| Page(s) | 50-53 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2024. Published by Science Publishing Group |
Cold Abscess, Malecot’s Catheter
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APA Style
Bhatnagar Ankur, Mazumdar Gaurango, Pandey Shantanu, Agarwal S. K., Gupta Devendra. (2014). Percutaneous Drainage of Thoracic Wall Cold Abscess with Malecot’s Catheter -Indications and Pitfalls. Journal of Surgery, 2(3), 50-53. https://doi.org/10.11648/j.js.20140203.14
ACS Style
Bhatnagar Ankur; Mazumdar Gaurango; Pandey Shantanu; Agarwal S. K.; Gupta Devendra. Percutaneous Drainage of Thoracic Wall Cold Abscess with Malecot’s Catheter -Indications and Pitfalls. J. Surg. 2014, 2(3), 50-53. doi: 10.11648/j.js.20140203.14
AMA Style
Bhatnagar Ankur, Mazumdar Gaurango, Pandey Shantanu, Agarwal S. K., Gupta Devendra. Percutaneous Drainage of Thoracic Wall Cold Abscess with Malecot’s Catheter -Indications and Pitfalls. J Surg. 2014;2(3):50-53. doi: 10.11648/j.js.20140203.14
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Download@article{10.11648/j.js.20140203.14,
author = {Bhatnagar Ankur and Mazumdar Gaurango and Pandey Shantanu and Agarwal S. K. and Gupta Devendra},
title = {Percutaneous Drainage of Thoracic Wall Cold Abscess with Malecot’s Catheter -Indications and Pitfalls},
journal = {Journal of Surgery},
volume = {2},
number = {3},
pages = {50-53},
doi = {10.11648/j.js.20140203.14},
url = {https://doi.org/10.11648/j.js.20140203.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140203.14},
abstract = {Chest wall cold abscess is a rare presentation. Tubercular localization in the thoracic cage is rare and difficult to diagnose, due to multiple clinical presentations with chest wall cold abscess being the commonest. Cold abscess of the chest wall must be treated more aggressively, and meticulous debridement and wide resection including involved bones and cartilages is required followed by coverage with local muscle or musculocutaneous flaps. Tube drainage under adequate ATT cover is a viable treatment option especially in patients not amenable to surgical intervention. Sinus formation after tube drainage reflects inadequate medical treatment. Small bore tubes should be used, which should be removed once radiological and clinical evidence of diseases resolution is obtained. If Malecot’s catheter is left for a long time in the cold abscess cavity, it get’s retained due to soft tissue in-growth from the collapsing cavity into the catheter tip and wings. The tissue in-growth and fibrosis can lead to complete integration of this foreign body into the tissues, which can only be removed through a surgical procedure. In such cases Malecot’s catheter is removed en-masse with a cuff of granulation tissue to ensure complete clearance of the foreign material.},
year = {2014}
}
TY - JOUR T1 - Percutaneous Drainage of Thoracic Wall Cold Abscess with Malecot’s Catheter -Indications and Pitfalls AU - Bhatnagar Ankur AU - Mazumdar Gaurango AU - Pandey Shantanu AU - Agarwal S. K. AU - Gupta Devendra Y1 - 2014/07/10 PY - 2014 N1 - https://doi.org/10.11648/j.js.20140203.14 DO - 10.11648/j.js.20140203.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 50 EP - 53 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20140203.14 AB - Chest wall cold abscess is a rare presentation. Tubercular localization in the thoracic cage is rare and difficult to diagnose, due to multiple clinical presentations with chest wall cold abscess being the commonest. Cold abscess of the chest wall must be treated more aggressively, and meticulous debridement and wide resection including involved bones and cartilages is required followed by coverage with local muscle or musculocutaneous flaps. Tube drainage under adequate ATT cover is a viable treatment option especially in patients not amenable to surgical intervention. Sinus formation after tube drainage reflects inadequate medical treatment. Small bore tubes should be used, which should be removed once radiological and clinical evidence of diseases resolution is obtained. If Malecot’s catheter is left for a long time in the cold abscess cavity, it get’s retained due to soft tissue in-growth from the collapsing cavity into the catheter tip and wings. The tissue in-growth and fibrosis can lead to complete integration of this foreign body into the tissues, which can only be removed through a surgical procedure. In such cases Malecot’s catheter is removed en-masse with a cuff of granulation tissue to ensure complete clearance of the foreign material. VL - 2 IS - 3 ER -
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