Orbital Cellulitis

November 21, 2012

CT, Facial, Non-Trauma, Ophthamology


This is a facial CT from a patient seen the other day in pediatrics with orbital cellulitis:

This is an interesting CT for several reasons:

Image #1 shows all ethmoid sinuses are opacified with destruction of the anterolateral wall of the ethmoid sinus, the cause of the orbital cellulitis

Image #2 shows a large abscess formation in the superior portion of the orbit causing…

Image #3  a significant proptosis of the left eye

Image #4 shows a frontal view further identifying the abscess.

Clinically this patient had a very proptotic eye, angry red and swollen periorbital area to the point that it was difficult to get an ocular view. 

Author:  Russell Jones, MD

Image contributor:  Ali Naqvi, MD

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  1. The LITFL Review 085 - October 2, 2013

    […] Orbital Cellulitis – How to detect it on CT! […]

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