case_images: PMC4393936_01
case_images: MRI shows T1 phase with gadolinium contrast, showing a small superficial gluteal collection joining large deep subcutaneous collections in contact with the muscular fascia, associated with diffuse infiltration of the neighbouring subcutaneous tissue and the gluteus maximus muscles.
case_images: CRIID2015-361340.001.jpg
case_images: PMC4393936_01_CRIID2015-361340.001.jpg
case_images: fig1
case_images: MRI showed a large subcutaneous collection of 4 x 7 x 10 cm in contact with the muscular fascia, associated with a diffuse infiltration of the neighbouring subcutaneous tissue, the gluteus maximus muscle, and the presence of an ipsilateral inflammation of the sacroiliac joint (Figure 1).
case_images: Intraoperative view after debridement of the gluteal collection and placement of drains in undermined areas (drawn in blue).
case_images: CRIID2015-361340.002.jpg
case_images: PMC4393936_01_CRIID2015-361340.002.jpg
case_images: fig2
case_images: Drains were progressively removed and daily dressings were replaced by intermittent negative-pressure wound-therapy at postoperative day eight for four weeks (Figure 2).
case_images: At six months' follow-up, a hyperpigmented scar of a three-centimeter diameter was present in the middle of a depressed area of about seven centimetres in the right gluteal region. The scar is not hidden in a conventional swimming suit.
case_images: CRIID2015-361340.003.jpg
case_images: PMC4393936_01_CRIID2015-361340.003.jpg
case_images: fig3
case_images: There is obvious gluteal asymmetry compared to the contralateral side (Figure 3).