n SA Journal of Radiology - Imaging of compound palmar ganglion with pathologic correlation : case report




Compound palmar ganglion, or chronic flexor tenosynovitis, most commonly of tuberculous origin, is a rare extrapulmonary manifestation of tuberculosis (TB). The flexor synovial sheath is not a common site for TB but, once involved, causes rapid involvement of all flexor tendons. 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. On ultrasonography and magnetic resonance imaging, features suggestive of compound palmar ganglion were present. The patient underwent surgical resection (extensive tenosynovectomy) and chemotherapy. Post-operative histopatholgical findings correlated with the radiological features.


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