Volume 5
Number 2 July 2005Uddin B1 , Azim A2 , Mahmud S A3
Abstract
The majority of cold abscess of chest wall are secondary to tuberculous intercostal lymphadenitis. A minority arc associated with Pott's disease of spine and tuberculosis of ribs or sternum'. Intercostal lymph nodes are situated posteriorly near the neck of the rib or anteriorly along the internal mammary vessels. Tuberculous pus formed in these sites may travel a considerable distance in the intemostals space before becoming subcutaneous. It usually reaches the superficial tissue by following the lateral and anterior branches of intercostal vessels and thus most commonly present in anterior axillary line and parr-sternal region. Involvement of skin and its rupture is common in neglected areas, resulting in a persisting discharging sinus surrounded by typical tuberculous granulation tissue'.
Keywords:
- Assist professor, Department of Surgery
- Associate Professor. Department of Surgery
- Resident, Department of Surgery