[Epidermal inclusion cyst mimicking an implantable cardiac defibrillator pocket infection: a rare finding]. in Giornale italiano di cardiologia (2006) / G Ital Cardiol (Rome). 2024 Nov;25(11):841-843. doi: 10.1714/4352.43394.

2024
ASL Novara

Tipo pubblicazione

Journal Article

Autori/Collaboratori (8)Vedi tutti...

Maffè S
Divisione di Cardiologia, Ospedale SS. Trinità Borgomanero, ASL NO, Novara.
Paffoni P
Divisione di Cardiologia, Ospedale SS. Trinità Borgomanero, ASL NO, Novara.
Bergamasco L
Divisione di Cardiologia, Ospedale SS. Trinità Borgomanero, ASL NO, Novara.

et alii...

Abstract

We report an unusual case of an elderly man presenting with formation and rupture of an epidermal inclusion cyst at the level of an implantable cardiac defibrillator (ICD) pocket. The lesion appeared 2 years after ICD implantation, mimicking a decubitus or a pocket infection. Surgical revision showed no signs of infection of the pocket, but the pedunculated lesion was rooted in the subcutaneous tissue, whit an implant base external to the ICD pocket, which was removed and analyzed histologically, confirming the diagnosis of epidermal inclusion cyst. The pathophysiological mechanism of cyst formation is discussed. This case highlights the importance of an increased attention to lesions that mimic infections of a cardiac implantable electronic device pocket, thus preventing unnecessary complete removal of the device system.

Accesso banca dati bibliografica

PMID : 39450464

DOI : 10.1714/4352.43394

Keywords

Humans; Defibrillators, Implantable/adverse effects; Male; Diagnosis, Differential; Epidermal Cyst/diagnosis; Prosthesis-Related Infections/diagnosis; Aged;