Case Report

Imaging of compound palmar ganglion with pathologic correlation

Sourav Talukder, Anindya Bandyopadhay, Shamick Biswas, Sumit Chakraborty, Suchismita Chakrabarti
South African Journal of Radiology | Vol 18, No 1 | a654 | DOI: https://doi.org/10.4102/sajr.v18i1.654 | © 2014 Sourav Talukder, Anindya Bandyopadhay, Shamick Biswas, Sumit Chakraborty, Suchismita Chakrabarti | This work is licensed under CC Attribution 4.0
Submitted: 02 June 2014 | Published: 11 December 2014

About the author(s)

Sourav Talukder, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital (IPGME&R and SSKM), India
Anindya Bandyopadhay, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital (IPGME&R and SSKM), India
Shamick Biswas, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital (IPGME&R and SSKM), India
Sumit Chakraborty, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital (IPGME&R and SSKM), India
Suchismita Chakrabarti, R.G. Kar Medical College and Hospital, India


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Abstract

Compound palmar ganglion, or chronic flexor tenosynovitis, most commonly of tuberculousorigin, is a rare extrapulmonary manifestation of tuberculosis (TB). The flexor synovialsheath is not a common site for TB but, once involved, causes rapid involvement of all flexortendons. We discuss the case of a 70-year-old farmer who presented to us with pain and progressive swelling of the palmar aspect of the wrist. On clinical examination, swelling both above and below the proximal wrist crease was found, with positive cross-fluctuation. Onultrasonography and magnetic resonance imaging, features suggestive of compound palmarganglion were present. The patient underwent surgical resection (extensive tenosynovectomy)and chemotherapy. Post-operative histopatholgical findings correlated with the radiological features.

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