Emergency Decompressive Craniotomy with Banked Skull Flap in Subcutaneous Pocket

摘要

The abdominal KUB (Kidneys, Ureters, and Bladder, also sometimes referred to as 'Flat Plate') demonstrates a smooth, large, calcific opacity in the left lower quadrant (see figure 1). An enteric tube is also noted with its tip in stomach; surgical staples are noted peripherally to skull cap. No other abnormalities are present on the KUB. The axial CT of the abdomen localizes the skull cap to the anterior abdominal wall subcutaneous tissue (see figure 2). CT also shows 10 x 6 x 1.5 cm non-enhancing homogeneous low attenuating fluid collection posterior to the skull cap. For providers that have not heard of banking the skull cap in the abdomen, this type of finding can be perplexing. This procedure became common in recent military combat operations; however, the trend may change due to unique infection potential in other continents.