Recurrent meningitis due to a congenital fistula of the stapedial footplate

1993 ◽  
Vol 107 (10) ◽  
pp. 931-932 ◽  
Author(s):  
H. S. Kaddour
Keyword(s):  
High Resolution ◽  
Ct Scan ◽  
Rare Case ◽  
High Index ◽  
Definite Diagnosis ◽  
Recurrent Meningitis ◽  
Stapes Footplate ◽  
Temporal Bones ◽  
High Index Of Suspicion ◽  
Congenital Fistula

AbstractA rare case of a congenital fistula of the stapes footplate, in a 10-year-old girl, resulting in recurrent meningitis, is reported. A full ENT examination and a high index of suspicion, is essential if the diagnosis is to be made.Exploratory tympanotomy should be considered on clinical grounds, even if a high resolution CT scan of the temporal bones does not show any anomalies, in order to ascertain the definite diagnosis of a fistula and to seal it permanently.

scholarly journals Foreign body stone in oesophagus: a unique case

2015 ◽  
Vol 12 (2) ◽  
pp. 140-142 ◽  
Author(s):  
B P Sah ◽  
S T Chettri ◽  
J N. Prasad ◽  
P P Gupta ◽  
S P Shah ◽  
...  
Keyword(s):  
Foreign Body ◽  
High Risk ◽  
Rare Case ◽  
Mentally Retarded ◽  
Risk Groups ◽  
High Index ◽  
Common Occurrence ◽  
Unique Case ◽  
History Of ◽  
High Index Of Suspicion

Foreign body ingestion is a common occurrence in children and in specific high-risk  groups. It is usually diagnosed based on a history of ingestion given by the patient  or an observer. However, children and mentally retarded adults may be unable to  give an accurate history, and a high index of suspicion must be maintained in these  groups. We report a rare case of foreign body stone in an mentally retarded adult  which presented with drooling and impaired feeds, thence enabling for high index  for suspicion.  Health Renaissance 2014;12(2): pp: 140-142

Pneumomediastinum due to tracheal foreign body granuloma

2005 ◽  
Vol 119 (12) ◽  
pp. 998-1000
Author(s):  
H Kishore Chandra Prasad ◽  
Suja S Sreedharan ◽  
Sydney D’Souza ◽  
Naveen Kumar ◽  
Sampath Chandra Prasad
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Rare Case ◽  
High Index ◽  
Foreign Body Granuloma ◽  
Differential Diagnoses ◽  
Granulomatous Reaction ◽  
Intubation Granuloma ◽  
Malignant Lesions ◽  
High Index Of Suspicion

Primary tracheal masses are rare. Secondary masses of the trachea are commonly foreign body granuloma, intubation granuloma or viral granuloma. The differential diagnoses given in such cases include both benign and malignant lesions. The otolaryngologist is often asked to perform a biopsy of the lesion to arrive at a diagnosis. However, even malignant processes can cause a granulomatous reaction. The timely diagnosis of tracheal masses depends upon maintaining a high index of suspicion. A rare case of tracheal granuloma leading to pneumomediastinum in a 53-year-old female is presented. The clinical features, investigations and treatment are detailed. The tracheal granuloma was managed by excision through bronchoscopy and the pneumomediastinum was managed conservatively.

scholarly journals Occult Foreign Bodies in ENT

2015 ◽  
Vol 23 (2) ◽  
pp. 73-76
Author(s):  
Bijan Kumar Adhikary ◽  
Subhra Deb Biswas ◽  
Avick Das ◽  
Swapan Kumar Ghosh
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Foreign Bodies ◽  
High Index ◽  
X Ray ◽  
High Index Of Suspicion ◽  
Separate Incision

IntroductionForeign bodies are common ENT emergencies. Histories are usually forthcoming from the patient himself or the relatives . Three occult foreign bodies are reported here, which were missed even by treating doctors, with discussion about steps to avoid such errors in future. Case SeriesCase 1: Though the history was apparent, the foreign body was removed only after 13 years from the Zygomatic region.Case 2: The parents were aware of the foreign body but inadequate investigations led to a delayed diagnosis.Case 3: The history clinched the diagnosis. Pre operative localization and separate incision to remove the foreign body saved the vital structures. DiscussionA high index of suspicion, meticulous history and proper investigation like x-ray or CT scan or MRI of the diseased area may help in locating the hidden foreign bodies in the ENT region.

scholarly journals Chronic umbilical abscess secondary to a patent urachus in a 30 years male: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 2845
Author(s):  
Akula Nynasindhu ◽  
Swetana Palavalasa
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Ct Scan ◽  
Regional Anaesthesia ◽  
Clinical Presentation ◽  
Adult Population ◽  
High Index ◽  
Patent Urachus ◽  
Urachal Sinus ◽  
High Index Of Suspicion

Urachus is epithelialized, fibromuscular remnant part connecting urinary bladder with umbilicus. Urachal anomalies present and progress differently in paediatric and adult population. They remain largely asymptomatic until infected. Clinical presentation may vary from simple discharge from umbilicus to intrabdominal abscess and peritonitis. We present a case of urachal sinus presenting as recurrent umbilical abscess. 30 years male presented with complaints of umbilical mass with pus discharge. He was evaluated clinically and radiologically. Ultrasound revealed a localized collection near umbilicus whereas CT scan revealed connection of that collection to a fibrous strand like structure approximately 10 cm extending from umbilicus to urinary bladder. An open exploration was done under regional anaesthesia and 20 ml of abscess drained with excision of tract by ligating near the bladder end. Local debridement was done near the umbilical area. Wound closed in layers. Post-op period was uneventful without any recurrence. urachal anamolies need a high index of suspicion in adults to intervene early and get better outcomes with less morbidity.

scholarly journals Superior Canal Dehiscence: A Comparative Postmortem Multislice Computed Tomography Study

OTO Open ◽  
2018 ◽  
Vol 2 (3) ◽  
pp. 2473974X1879357 ◽  
Author(s):  
Philipp Mittmann ◽  
Arne Ernst ◽  
Rainer Seidl ◽  
Anna-Felicitas Skulj ◽  
Sven Mutze ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Resolution ◽  
Ct Scan ◽  
Temporal Bone ◽  
Multislice Ct ◽  
Ct Imaging ◽  
Autopsy Findings ◽  
Superior Canal Dehiscence ◽  
Temporal Bones ◽  
Canal Dehiscence

Objective Superior canal dehiscence is defined by missing bony coverage of the superior canal against the middle cranial fossa. The gold standard in diagnosis is high-resolution computed tomography (CT). A false-positive CT scan, identifying a dehiscence when one is not present, could lead to unnecessary surgical therapy. This study aims to compare postmortem CT scans with autopsy findings with regard to superior canal dehiscence. Study Design Postmortem study. Setting Tertiary referral center. Subjects and Methods Twenty-two nontraumatic death cases within a 3-month period (January to March 2017) were included with 44 temporal bones. Each body underwent postmortem head CT prior to medicolegal autopsy. The middle fossa floor was exposed, and if present, the superior semicircular canal dehiscence was identified and measured. In each case, 3 comparable photographs were taken during the autopsy (left temporal bone, right temporal bone, overview). Results Autopsy findings revealed bony dehiscences in 11% of the temporal bones, whereas CT scan revealed bony dehiscences in 16%. The length of the dehiscences were longer when measured by CT imaging. Conclusion The diagnosis of superior canal dehiscence syndrome requires high-resolution CT with clinical symptoms and physiologic evidence of a third mobile window. Our study underlines a mismatch between multislice CT imaging in the coronal plane and the presence of a dehiscence on autopsy.

scholarly journals Rudimentary horn pregnancy: a rare entity

2020 ◽  
Vol 9 (4) ◽  
pp. 1761
Author(s):  
Sujamol Jacob ◽  
Lalithambica Karunakaran ◽  
Neena Devasia
Keyword(s):  
Early Diagnosis ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Uterine Cavity ◽  
High Index ◽  
Rare Entity ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
High Index Of Suspicion

Unicornuate uterus is the type 2 variety of mullerian duct anomaly resulting in unilateral agenesis or hypoplasia. The hypoplastic (Rudimentary) horn can be functioning or non-functioning and communicating or noncommunicating with the main uterine cavity. Pregnancy in the rudimentary horn is an extremely rare entity. It is often missed at ultrasound in the early trimester, presenting later with massive hemoperitoneum and shock from rupture of the horn.  A “high index of suspicion” is essential to derive at the correct diagnosis. Hence reporting this rare case for emphasizing the importance in early diagnosis and prompt management.

scholarly journals A Rare Case of Endometriosis of the Small Bowel

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Moisés R. Zepeda ◽  
Su K. Win
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Clinical Condition ◽  
Rare Case ◽  
High Index ◽  
Clinical Event ◽  
Clinical Encounters ◽  
Abdominal Symptoms ◽  
High Index Of Suspicion

Endometriosis of the small bowel is a rare clinical event. The clinical condition presents with vague abdominal symptoms and is usually not diagnosed acutely, unless clinicians have a high index of suspicion. Most patients are diagnosed after multiple clinical encounters. We present a case of endometriosis causing small bowel obstruction diagnosed postsurgically.

scholarly journals Wandering Spleen - A Rare Entity

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdomen ◽  
High Index ◽  
Wandering Spleen ◽  
Rare Entity ◽  
Rare Differential Diagnosis ◽  
High Index Of Suspicion ◽  
Very High

Wandering spleen is a rare differential diagnosis of an acute abdomen and must be suspected if a patient presents with abdominal pain along with a palpable lump and displacement of bowel to left upper quadrant and should be confirmed by CT scan. As the condition is very rarely diagnosed pre-operatively, it requires a very high index of suspicion.

First reported case of a coronal hamate fracture associated with intrusion of the fifth metacarpal base, together with a fracture of the fourth metacarpal base

2021 ◽  
Vol 14 (9) ◽  
pp. e243368
Author(s):  
Valerio Pace ◽  
Giacomo Placella ◽  
Giuseppe Rinonapoli ◽  
Auro Caraffa
Keyword(s):  
Ct Scan ◽  
Surgical Management ◽  
Correct Diagnosis ◽  
High Index ◽  
Full Recovery ◽  
Metacarpal Fracture ◽  
The Common ◽  
Hamate Fracture ◽  
High Index Of Suspicion ◽  
Type Of Injury

We present a case reporting a rare combination of base of fourth metacarpal fracture and coronal body of hamate fracture, treated conservatively with excellent results. High index of suspicion for undetected bony injuries drove the execution of a CT scan, which allowed us to make a full correct diagnosis and plan treatment. Moreover, this case becomes the first reported case in the literature of such injury causing the intrusion of the base of the fifth metacarpal within the hamate bone, thus causing the coronal pattern of the hamate fracture. Differently from the common surgical management of this type of injury, we successfully treated this patient with close reduction and immobilisation, with full recovery after 3 months.

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