Laryngopyocoele: simple management of an acute airway crisis

2008 ◽  
Vol 123 (2) ◽  
pp. 248-249 ◽  
Author(s):  
A T M Mace ◽  
S Ravichandran ◽  
G Dewar ◽  
G L Picozzi
Keyword(s):  
Case Report ◽  
Ultrasound Guidance ◽  
Surgical Excision ◽  
Neck Mass ◽  
Radiology Department ◽  
Ultrasound Guided ◽  
Airway Emergency ◽  
Acute Airway Obstruction ◽  
History Of ◽  
Rare Diagnosis

AbstractObjective:We present the first reported case of ultrasound-guided aspiration of a laryngopyocoele in a patient with acute airway obstruction.Case report:A 71-year-old woman was diagnosed with a right-sided laryngocoele. Six weeks later, the patient was admitted as an emergency with a three-day history of increasing dyspnoea and stridor. Neck examination revealed a large, right-sided, soft neck mass, centred at level III, measuring approximately 10 × 5 cm. Fibre-optic laryngoscopy revealed a large, smooth, inflamed, right supraglottic mass obscuring the laryngeal inlet. The patient was taken directly to the radiology department, where ultrasound imaging confirmed a laryngopyocoele. Under ultrasound guidance, a 21-G needle was directed into the cyst and 30 ml of pus was aspirated. The dysphonia and stridor resolved immediately. Six weeks later, the patient underwent definitive surgical excision of the laryngocoele.Conclusion:Laryngopyocoele is a rare diagnosis. It can present as an acute airway emergency. We present the first reported case managed by ultrasound-guided aspiration, which averted the need for endotracheal intubation or tracheostomy.

scholarly journals Infected Recurrent Thyroglossal Duct Cyst: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 411-413
Author(s):  
Jennifer Foti ◽  
Felipe Grimaldo
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Acute Infection ◽  
Surgical Excision ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Computed Tomography Imaging ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
History Of

Introduction: A thyroglossal duct cyst (TGDC) is a congenital malformation in the neck. Surgical management is often recommended due to risk of recurrent infections and rare possibility of malignancy. Case Report: Herein, we describe the case of an adult presenting with tender neck mass and fever. She had a history of previous surgical excision of her TGDC as a child. On evaluation she was found to have a recurrent TGDC complicated by acute infection via computed tomography imaging. Conclusion: In patients who have had previous surgical intervention to remove a TGDC, recurrence with infection should remain a diagnostic consideration.

Intraneural Nodular Fasciitis of the Dorsal Scapular Nerve: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Ivan Domazet ◽  
Niko Njiric ◽  
Antonia Jakovcevic ◽  
Andrija Bitunjac ◽  
Krešimir Domazet ◽  
...  
Keyword(s):  
Case Report ◽  
Subcutaneous Tissue ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Left Shoulder ◽  
Nodular Fasciitis ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Histopathologic Analysis ◽  
Rare Diagnosis

Abstract Background Nodular fasciitis is a benign neoplasm occurring predominantly in the subcutaneous tissue. There have been nine intraneural occurrences described in the literature. Case report A 37-year-old woman presented with numbness and tenderness in her left shoulder and scapula and a slightly dropped left shoulder, without history of trauma. A magnetic resonance imaging (MRI) of the cervical spine showed a well-circumscribed oval mass deep to the levator scapula muscle. Due to persisting symptoms and an unknown nature of the process, surgical excision was performed, and histopathologic analysis confirmed diagnosis of a benign fibroblastic/myofibroblastic neoplasm, nodular fasciitis. The postoperative course was uneventful and the patient was without symptoms at 4 months of follow-up. Methods We reviewed the available literature (PubMed, Google Scholar), with nine published cases of intraneural nodular fasciitis. The reported clinical, radiologic, and histopathologic parameters were evaluated and compared. Discussion Most of the cases reported in the literature were symptomatic, with tenderness and palpability being the main symptoms. Six of the reported cases occurred in the forearm, whereas three were in the leg. To the best of our knowledge, ours is the first reported case of nodular fasciitis occurring in the trunk. Ours is the only case to display desmin positivity, which supports the reactive hypothesis of nodular fasciitis. Conclusion Intraneural nodular fasciitis is an extremely rare diagnosis. Due to its benign natural course, a multidisciplinary approach with this extremely rare diagnosis in mind is needed to avoid overtreatment.

scholarly journals 1247 Fusobacterium Necrophorum - A Rare Thyroglossal Cyst Habitat That Can Be Lethal

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Goel ◽  
C Oikonomou ◽  
A Amini
Keyword(s):  
Surgical Excision ◽  
Fusobacterium Necrophorum ◽  
Neck Mass ◽  
Ultrasound Guided ◽  
Thyroglossal Cyst ◽  
Left Hand ◽  
Level Ii ◽  
History Of ◽  
Antibiotic Regime ◽  
Significant Mortality

Abstract Thyroglossal cyst is the most frequent developmental cervical anomaly with a prevalence of 7% in the population. Infection and abscess formation are common complications. Isolation of Fusobacterium Necrophorum (F. Necrophorum) made the management of this case challenging. An 18-year-old male presented to the emergency department with a 3-day history of a neck mass, sore throat, cachexia, dysphagia and fever. Clinical examination revealed an erythematous 4 x 5 fluctuant swelling in the midline of the neck with evident lymphadenopathy on level II on the left-hand side. A CT neck that was undertaken nine months ago was suggestive of a thyroglossal cyst and the patient was placed in the waiting list for surgical excision under general anaesthesia. He reported three episodes of midline neck swelling since then. Upon admission, ultrasound guided drainage was arranged, and a pus sample obtained. The presence of F. Necrophorum was reported by microbiology with instructions of urgent admission and strict antibiotic regime. Excision of the cyst was scheduled after the completion of the antibiotic course. Fusobacterium Necrophorum is a rare microorganism with increased virulence and a significant mortality rate. It has been involved in oropharyngeal infections complicated by Lemierre’s syndrome, necrobacillosis, post anginal sepsis and septic jugular thrombophlebitis making this case of particular interest.

scholarly journals Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Infratemporal Fossa ◽  
Newborn Infants ◽  
Surgical Excision ◽  
Neck Mass ◽  
Oral Feeding ◽  
Feeding Difficulties ◽  
Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

scholarly journals Nonfunctional parathyroid cyst: case report

2009 ◽  
Vol 127 (6) ◽  
pp. 382-384 ◽  
Author(s):  
Carlos Eduardo Molinari Nardi ◽  
Ricardo Adriano Nasser Barbosa da Silva ◽  
Cynthia Maria Massarico Serafim ◽  
Rogério Aparecido Dedivitis
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Neck Mass ◽  
Thyroid Lobe ◽  
Parathyroid Cyst ◽  
Neck Masses ◽  
Thyroid Lobectomy ◽  
Ionic Calcium ◽  
Parathyroid Cysts ◽  
Left Thyroid Lobe

CONTEXT: Parathyroid cysts are rare clinical and pathological entities, with less than 300 cases reported. The inferior parathyroid glands are most commonly involved, with left-side predominance. Parathyroid cysts may be functional or nonfunctional, depending on their association with hypercalcemia. CASE REPORT: A 25-year-old man presented a palpable asymptomatic left-side neck mass. Ultrasound revealed a cystic structure contiguous with the left thyroid lobe. Serum ionic calcium was normal. The patient underwent left thyroid lobectomy plus isthmectomy with excision of the cyst. The histological findings revealed a parathyroid cyst. Parathyroid cysts typically present as asymptomatic neck masses, and surgical excision appears to be the treatment of choice.

scholarly journals Thyroid haemangiosarcoma in a seven-year-old female Shih Tzu

2020 ◽  
Vol 8 (2) ◽  
pp. e001012
Author(s):  
Luis Pedro Rocha Moreira ◽  
Emma Scurrell ◽  
Paul Mahoney ◽  
Stephen Baines
Keyword(s):  
Histopathological Examination ◽  
Abdominal Ultrasound ◽  
Neck Mass ◽  
Clinical Staging ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Fine Needle Aspirates ◽  
History Of ◽  
The Right ◽  
Mixed Tumours

Canine thyroid tumours are uncommon and the majority of tumours are carcinomas or adenomas, with only very few mixed tumours or metastases from distant sites described to date. A primary thyroid haemangiosarcoma has never been reported in veterinary medicine. In this case report, we describe a dog with a history of a large, non-painful, mobile ventral neck mass in the right paralaryngeal region. CT and ultrasound-guided fine needle aspirates were used for clinical staging. The mass was surgically excised and histopathological examination indicated a haemangiosarcoma. Abdominal ultrasound revealed the presence of splenic nodules and splenectomy indicated the presence of haemangiosarcoma. Chemotherapy with doxorubicin was started, but the dog was euthanased after three rounds of therapy, 97 days after the mass was discovered.

Sublingual dermoid cysts: case report and review of the literature

2015 ◽  
Vol 129 (10) ◽  
pp. 1036-1039 ◽  
Author(s):  
E Kyriakidou ◽  
T Howe ◽  
B Veale ◽  
S Atkins
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Cystic Lesions ◽  
Review Of The Literature ◽  
Mylohyoid Muscle ◽  
Floor Of The Mouth ◽  
Intraoral Approach ◽  
History Of

AbstractBackground:Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.Case report:A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.Conclusion:Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.

Diagnosis of Hepatosplenic Sarcoidosis by Contrast-Enhanced Ultrasound Guided Needle Biopsy

Ultrasound ◽  
2008 ◽  
Vol 16 (4) ◽  
pp. 196-198 ◽  
Author(s):  
Roberto Chiavaroli ◽  
Pierfrancesco Grima ◽  
Paola Calabrese ◽  
Piero Grima
Keyword(s):  
Case Report ◽  
Liver Biopsy ◽  
Needle Biopsy ◽  
Systemic Disease ◽  
Final Diagnosis ◽  
The Body ◽  
Contrast Enhanced Ultrasound ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
History Of

Sarcoidosis is a systemic disease characterised by non-caseating multiple granulomas involving virtually any organ in the body. The aetiology and natural history of sarcoidosis remains obscure. Hepatosplenic sarcoidosis is rare with image-based diagnosis difficult if no other organ is already involved. This case report describes a patient with asymptomatic liver and spleen involvement in which a final diagnosis was achieved with contrast enhanced ultrasound (CEUS) guided liver biopsy.

scholarly journals Case Report: Ultrasound Guided Mucosal Fold Lateralization for Laryngeal Webs

2021 ◽  
Vol 8 ◽  
Author(s):  
Sohit Paul Kanotra
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Anterior Commissure ◽  
High Recurrence Rate ◽  
Ultrasound Guided ◽  
Vocal Cords ◽  
Mucosal Flap ◽  
Mucosal Surfaces ◽  
Mucosal Fold

The surgical management of Laryngeal webs is challenging and is associated with a high recurrence rate due the presence of opposing raw mucosal surfaces of the vocal cords, especially near the anterior commissure which causes re-scarring. We describe an endoscopic technique of mucosal flap lateralization (MFL) with ultrasound guidance, which prevents the apposition of the anterior raw surfaces of the vocal cords after web incision, thus avoiding recurrence.

scholarly journals Vulvar Hemangioma: Case Report

2018 ◽  
Vol 40 (06) ◽  
pp. 369-371
Author(s):  
Janine Silva ◽  
Emily Calife ◽  
João Cabral ◽  
Hildemárzio Andrade ◽  
Ana Gonçalves
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Female Patient ◽  
Surgical Approach ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Genital Ulcer ◽  
Emotional Disability ◽  
The Past ◽  
History Of

AbstractHemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.

Sign in / Sign up

Export Citation Format

Share Document