Giant enterocystoma within an infant's tongue

1990 ◽  
Vol 104 (10) ◽  
pp. 814-818 ◽  
Author(s):  
P. D. Grime
Keyword(s):  
Airway Obstruction ◽  
Intestinal Epithelium ◽  
Male Infant ◽  
Feeding Difficulties ◽  
Developmental Cyst ◽  
Emergency Tracheostomy

AbstractA rare developmental cyst within the tongue and submandibular triangle ofa male infant containing heterotopic gastric and intestinal epithelium (enterocystoma) is described and its derivation discussed. This cyst was ofsuch a size as to cause feeding difficulties and partial airway obstruction during sleep. Following C.T. scanning, total obstruction necessitated an emergency tracheostomy. Successful enucleation via a median labiomandibulotomy was performed without further complication and two years later there is no sign of recurrence.

scholarly journals Upper airway obstruction caused by primary lymphoplasmacytic lymphoma of the retropharyngeal space: a case report

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Chinyere N. Asoegwu ◽  
Okezie O. Kanu ◽  
Clement C. Nwawolo
Keyword(s):  
Lymph Nodes ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Retropharyngeal Space ◽  
Histopathological Diagnosis ◽  
Lymphoplasmacytic Lymphoma ◽  
Malignant Tumours ◽  
Post Surgery ◽  
Emergency Tracheostomy

Abstract Background Primary malignant tumours of the retropharyngeal space are rare with only a few case reports in the literature. Lymphoplasmacytic lymphoma is a rare subtype of non-Hodgkin lymphoma and is very rarely found as a primary tumour of the retropharyngeal space. Case presentation We report the case of progressive upper airway obstruction in a 49-year-old male caused by a primary malignant tumour of the retropharyngeal space lymph nodes. He had an emergency tracheostomy to relieve the upper airway obstruction followed a week later by an elective surgical excision of the tumour via the trans-cervical route. A mixed population of lymphocytes, with a marked presence of Dutcher bodies, was noted on histopathology and positive CD20 on immunohistochemistry, confirming the lymphoplasmacytic lymphoma of the retropharyngeal space. The watchful waiting treatment method for the lymphoma was employed for him since he had no symptoms relating to lymphoma and no serum Waldenström’s macroglobulinemia. He has remained symptom-free 3 years post-surgery. Conclusion Primary malignant tumours involving the retropharyngeal space lymph nodes are very rare. They can rarely grow to a size huge enough to cause obstructive upper aerodigestive symptoms. Primary lymphoma of the retropharyngeal space should be considered in the diagnosis of the tumours involving the retropharyngeal space lymph nodes. Excisional biopsy is important to obtain tissue for histopathological diagnosis and the relief of upper aerodigestive tract obstruction when present.

scholarly journals A rare case of laryngeal Kaposi’s sarcoma

2010 ◽  
Vol 9 (2) ◽  
pp. 107-109
Author(s):  
J Mohd Tahir ◽  
KN Gopalan ◽  
MB Marina ◽  
SHA Primuharsa Putra
Keyword(s):  
Airway Obstruction ◽  
Kaposi's Sarcoma ◽  
Medical Science ◽  
Intravenous Drug User ◽  
Upper Airway ◽  
Kaposi’S Sarcoma ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Emergency Tracheostomy ◽  
High Index Of Suspicion

Kaposi’s sarcoma (KS) is the most common malignancy observed in patient with acquired immune deficiency syndrome (AIDS). It rarely causes upper airway obstruction. We report a 39-year-old gentleman, a former intravenous drug user with AIDS and Hepatitis C positive who developed progressive hoarseness with stidor. He underwent an emergency tracheostomy and direct laryngoscopy revealed a whitish globular laryngeal mass obscuring the glottic region. A biopsy of the mass was taken and the histopathological report showed evidence of spindle cell connective tissue, consistent with Kaposi’s sarcoma. It is important for clinicians or surgeons to maintain a high index of suspicion for the diagnosis of laryngeal KS in immunodeficiency patient even without cutaneous manifestation.Keywords: Airway obstruction; Laryngeal; Kaposi’s sarcoma; HIV. DOI: 10.3329/bjms.v9i2.5660Bangladesh Journal of Medical Science Vol.09 No.2 Apr 2010 pp.107-109

scholarly journals Spontaneous Sublingual Hematoma as a Complication of Severe Hypertension: First Report of a Case

2002 ◽  
Vol 81 (8) ◽  
pp. 576-578 ◽  
Author(s):  
Narayanan Prepageran ◽  
Rajagopalan Raman ◽  
Siti Mazlipah Ismail ◽  
Zainal Ariff Abdul Rahman
Keyword(s):  
Airway Obstruction ◽  
Local Anesthesia ◽  
Severe Hypertension ◽  
First Report ◽  
Floor Of The Mouth ◽  
Emergency Tracheostomy ◽  
Spontaneous Hematoma

We describe what we believe is the first reported case of a sublingual hematoma secondary to severe hypertension. The patient, a 77-year-old woman, experienced a spontaneous hematoma of the floor of the mouth, tongue, and sublingual space that eventually caused an airway obstruction. We performed an emergency tracheostomy under local anesthesia and then evacuated the hematoma through an incision along the floor of the mouth. The patient recovered uneventfully.

The Jaw Index: New Guide Defining Micrognathia in Newborns

1997 ◽  
Vol 34 (3) ◽  
pp. 240-241 ◽  
Author(s):  
Ibo Van Der Haven ◽  
J. Wiebe Mulder ◽  
Karel G.H. Van Der Wal ◽  
J. Joris Hage ◽  
Elly S.M. De Lange-De Klerk ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Airway Obstruction ◽  
Reference Group ◽  
Relevant Literature ◽  
Pierre Robin Sequence ◽  
Feeding Difficulties ◽  
Robin Sequence ◽  
Life Threatening ◽  
Characteristic Features ◽  
Pierre Robin

Objective Newborns with glossoptosis due to micrognathia can suffer from life-threatening respiratory distress and severe feeding difficulties. These characteristic features are found in newborns with Pierre Robin sequence. In the relevant literature, no concensus concerning diagnosis for these childern can be found. A guide defining micrognathia can be helpful in the diagnosis of glossoptosis and possible airway obstruction. Method The jaw index is obtained in newborns by measuring three facial dimensions. In a series of 100 healthy neonates the standard measures were defined. Results The average jaw index in children with Pierre Robin sequence differs significantly from the reference group and was found to be over 3.6 times the normal value. Conclusions Micrognathia can be defined with the Jaw index.

Isolated laryngeal lymphangioma: a rare cause of airway obstruction in infants

1996 ◽  
Vol 110 (10) ◽  
pp. 969-972 ◽  
Author(s):  
B. C. Papsin ◽  
J. N. G. Evans
Keyword(s):  
Airway Obstruction ◽  
Male Infant ◽  
Interesting Case ◽  
Review Of The Literature ◽  
Respiratory Compromise ◽  
Cervical Disease ◽  
Laser Treatments

AbstractLaryngeal lymphangiomas are uncommon and virtually always represent extension of cervical disease. The exceptionally rare lymphangioma that remains isolated to the larynx has been reported only twice prior to this case.A six-month male infant presented with an undiagnosed mass in the supraglottis which had caused respiratory compromise requiring a tracheostomy. The diagnosis was made histologically and the treatment was begun. Therapy consisted of staged laser resections carried out cautiously to preserve laryngeal competence. After three laser treatments the lesion was controlled and the patient prepared for decannulation. This interesting case is presented with a review of the literature.

scholarly journals Hairy Polyp of Nasopharynx

2011 ◽  
Vol 4 (3) ◽  
pp. 149-151
Author(s):  
Digvijay Singh ◽  
Ajit Daharwal ◽  
Hansa Banjara ◽  
Sutanu Sarkar
Keyword(s):  
Airway Obstruction ◽  
Congenital Malformations ◽  
Older Patients ◽  
Early Embryogenesis ◽  
Feeding Difficulties ◽  
Hairy Polyp

ABSTRACT Hairy polyps are rare benign congenital malformations occurring in the nasopharynx or oropharynx. They arise during early embryogenesis and are invariably benign. They usually present at or soon after birth with signs of airway obstruction or feeding difficulties. Hairy polyps rarely present in older patients and only few cases have been reported in adults. We report a case of hairy polyp of nasopharynx in a 22-year-old female.

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