Laryngocoele as an unusual complication of supracricoid partial laryngectomy: evaluation of 62 cases

2010 ◽  
Vol 124 (6) ◽  
pp. 646-649 ◽  
Author(s):  
B Naiboglu ◽  
I Aslan ◽  
C Oysu ◽  
S Zer Toros ◽  
R Durmus ◽  
...  
Keyword(s):  
Rare Complication ◽  
Late Complication ◽  
Treatment Modalities ◽  
Resected Specimen ◽  
Unusual Complication ◽  
Partial Laryngectomy ◽  
Computed Tomography Scan ◽  
Cervical Mass ◽  
Supracricoid Partial Laryngectomy ◽  
Tomography Scan

AbstractBackground:This study sought to evaluate the incidence, aetiology, clinical features and treatment modalities for laryngocoele formation after supracricoid partial laryngectomy.Methods:The medical charts of 62 patients who had undergone supracricoid partial laryngectomy were reviewed.Results:Three patients developed laryngocoele, giving an incidence of 4.8 per cent. Two of these patients presented with a cervical mass, dyspnoea and fever. The mobility of the arytenoids was disturbed on the involved side. The third patient was admitted complaining only of a compressible cervical mass. In all patients, diagnosis was made by computed tomography scan. The transcervical surgical approach was preferred for resection.Conclusion:Laryngocoele can occur as a late complication of supracricoid partial laryngectomy. Remnants of the laryngeal ventricle may be the cause of laryngocoele formation. The integrity of the laryngeal ventricle in the resected specimen should be routinely checked in order to avoid this rare complication. Clinicians should be aware that, following supracricoid partial laryngectomy, a cervical mass presenting with dyspnoea and disturbance of arytenoid mobility does not always indicate tumour recurrence.

scholarly journals Retroauricular Emphysema as a Late Complication After Bonebridge Implantation: Case Report

2021 ◽  
pp. 014556132110002
Author(s):  
Soňa Šikolová ◽  
Dagmar Hošnová ◽  
Klára Perceová ◽  
Michal Bartoš ◽  
Vít Kruntorád ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Postoperative Complications ◽  
Rare Case ◽  
Late Complication ◽  
Bone Conduction ◽  
Computed Tomography Scan ◽  
Artificial Opening ◽  
Low Incidence ◽  
Tomography Scan

Bonebridge (BB) is the first active implantation system for bone conduction that is placed fully under the skin. Experience suggests that BB is characterized by low incidence of postoperative complications. This case report presents a rare case of a 16-year-old girl with incidence of emphysema occurring over the implant 1 year after operation. We performed a computed tomography scan that showed pockets of gas above the floating mass transducer so we provided the revision surgery and sealed the artificial opening with fat from the earlobe and fibrin glue. Since that time, no air has collected in the retroauricular area and the implant has been fully functional.

scholarly journals Mucocele of the appendix in a 77-year-old man with calcinosis, Raynaud’s phenomenon, esophageal dysfunction, sclerodactyly and telangiectasias syndrome

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Hanen Loukil ◽  
Faten Frikha ◽  
Mouna Snoussi ◽  
Zouhir Bahloul
Keyword(s):  
Raynaud’S Phenomenon ◽  
Mucinous Cystadenoma ◽  
Vermiform Appendix ◽  
Raynaud's Phenomenon ◽  
Unusual Complication ◽  
Computed Tomography Scan ◽  
Appendiceal Mucocele ◽  
Mucocele Of The Appendix ◽  
Esophageal Dysfunction ◽  
Tomography Scan

Mucocele is an uncommon pathology of the vermiform appendix estimated to be seen in 0.2-0.3%. The term mucocele means dilation of the appendix due to mucus, caused either by a benign or a malignant process. Herein, we report the case of a 77-year-old man with Calcinosis, Raynaud’s phenomenon, Esophageal dysfunction, Sclerodactyly and Telangiectasias syndrome, a limited form of Scleroderma, who had presented an abdominal cyclical pain and in which abdominopelvic computed tomography scan concluded to the diagnosis of appendiceal mucocele. Surgery and histopathology confirmed the diagnosis of mucinous cystadenoma. This association appendiceal mucocele and scleoderma has not been previously reported. The clinical and radiological features of this unusual complication are reviewed.

Intracardiac Fistulae: A Rare Complication of Infective Endocarditis

2011 ◽  
Vol 14 (5) ◽  
pp. 322 ◽  
Author(s):  
Ali M. Alizzi ◽  
Mandana Master ◽  
David Williams
Keyword(s):  
Computed Tomography ◽  
Staphylococcus Aureus ◽  
Pseudomonas Aeruginosa ◽  
Aortic Dissection ◽  
Coronary Care Unit ◽  
Rare Complication ◽  
Postmortem Examination ◽  
Computed Tomography Scan ◽  
Coronary Care ◽  
Tomography Scan

We present the case of a diabetic gentleman who was admitted to the hospital with an infected right foot. Swabs were positive for <i>Staphylococcus aureus</i> and <i>Pseudomonas aeruginosa.</i> His right big toe was amputated. Postoperatively, the patient experienced recurrent episodes of chest pain. He was therefore transferred to the coronary care unit, where he deteriorated rapidly. The patient was subsequently transferred to intensive care. Transthoracic and transesophageal echocardiograms revealed evidence of aortic dissection, but this finding was not confirmed in a computed tomography scan. The patient subsequently experienced cardiac arrest and died. The postmortem examination revealed no aortic dissection but did show a vegetation on the mitral valve with a fistula that tracked into a ruptured epicardium.

scholarly journals Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

2006 ◽  
Vol 124 (4) ◽  
pp. 234-236 ◽  
Author(s):  
Ruy Jorge Cruz Junior ◽  
Jorge Nahas ◽  
Luiz Francisco Poli de Figueiredo
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Abdominal Wall ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Computed Tomography Scan ◽  
The Past ◽  
The Right ◽  
High Degree ◽  
Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

scholarly journals An Incidental Finding of a Double-Lumen Trachea

2021 ◽  
Vol 34 (3) ◽  
pp. 229
Author(s):  
Krzysztof Piersiala ◽  
Anna Loroch ◽  
Joanna Jackowska ◽  
Malgorzata Wierzbicka
Keyword(s):  
Incidental Finding ◽  
Subglottic Stenosis ◽  
Unusual Complication ◽  
Tracheal Bronchus ◽  
Computed Tomography Scan ◽  
Double Lumen ◽  
Endoscopic Findings ◽  
The Past ◽  
Post Intubation ◽  
Tomography Scan

The aim of this case report is to present an incidental finding of a firm tracheal septum in a 61-year-old woman. The patient was admitted to the hospital with mild dyspnea and a preliminary diagnosis of a tracheal subglottic stenosis. During microlaryngoscopy, just below the subglottic stenosis, a firm, vertical symphysis (septum), forming a double-lumen trachea was found. There was no record of any previous difficulties with intubation. A computed tomography scan performed after the microlaryngoscopy revealed an airway branch arising from the trachea at the level of thyroid gland and joining its lumen below. The radiological and endoscopic findings in the presented case hardly resemble the conditions described in the literature, as the discovered septum does not have a pseudomembranous nature, nor does it form a tracheal bronchus. Therefore, the finding is thought to be an unusual complication of multiple intubations in the past. This is an extremely rare finding and it is important to share our experience in managing a patient with the aforementioned post-intubation complications.

scholarly journals Commentary Letter: Pneumopericardium Following Blunt Trauma

2019 ◽  
pp. 40-41
Author(s):  
Amr Abd-El Moneim Shalaby
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Rare Complication ◽  
Chest Ct ◽  
Spontaneous Resolution ◽  
Computed Tomography Scan ◽  
Penetrating Chest Trauma ◽  
Tomography Scan

Pneumopericardium is presence of air within the pericardial space. It is rare complication of blunt or penetrating chest trauma and may also occur iatrogenically. A case report of pneumopericarium caused by blunt chest trauma, condition was diagnosed by chest CT (Computed Tomography) scan; patient was vitally stable and managed conservatively with spontaneous resolution of pneumopericardium 10 days after admission.

Inflammatory nasal polyps: an unusual late complication of Silastic sheet repair of orbital floor fracture

2005 ◽  
Vol 120 (2) ◽  
pp. 1-2 ◽  
Author(s):  
A E Andrews ◽  
L Hicklin
Keyword(s):  
Rare Case ◽  
Nasal Polyps ◽  
Medical Literature ◽  
Late Complication ◽  
Computed Tomography Scan ◽  
Surgical Practice ◽  
Orbital Floor Fracture ◽  
Detailed Search ◽  
Special Case ◽  
Tomography Scan

Silastic implants are very widely used in surgical practice and are considered to be relatively inert. They do however present with complications, including infection, local foreign body inflammatory response, calcification, migration and failure of repair of the defect, which sometimes may necessitate explantation. Head and neck implants do present a special case, as complications can cause obstruction and disruption of function in small cavities. A pertinent history, clinical review and computed tomography scan are usually invaluable in obtaining a diagnosis. We present a rare case of migrated Silastic orbital sheet, presenting as a nasal polyp and causing maxillary antral pain and infection. A detailed search of the medical literature revealed no other such case.

Diffuse alveolar hemorrhage associated with ustekinumab treatment

2021 ◽  
Author(s):  
Kulothungan Gunasekaran ◽  
Anant Shukla ◽  
Nageshwari Palanisamy ◽  
Mandeep Singh Rahi ◽  
Armand Wolff
Keyword(s):  
Temporal Relationship ◽  
Case Reports ◽  
Rare Complication ◽  
Diffuse Alveolar Hemorrhage ◽  
Alveolar Hemorrhage ◽  
Drug Discontinuation ◽  
Computed Tomography Scan ◽  
First Case ◽  
Lupus Syndrome ◽  
Tomography Scan

Abstract Purpose A case of diffuse alveolar hemorrhage (DAH) occurring as a reaction to ustekinumab therapy is reported. Summary After starting ustekinumab for treatment of psoriatric arthritis, a 46-year-old female presented with flu-like symptoms and cough with blood-tinged sputum that had begun 1 week previously. Her initial computed tomography scan of the chest demonstrated bilateral ground-glass opacities. On bronchoscopy, the bronchoalveolar lavage (BAL) return became bloodier from sample 1 to samples 2 and 3. Her BAL fluid was more than 90% hemosiderin-laden macrophages, a finding consistent with DAH. We ruled out infectious etiologies and other common vasculitis conditions that can cause DAH. A diagnosis of ustekinumab-induced DAH was made due to a temporal relationship between initiation of the drug and the patient’s presentation and the absence of infection and other alternate diagnosis. Prior case reports including ustekinumab-induced pneumonitis, interstitial lung disease with a granulomatous component, and lupus syndrome have been reported, with this being the first case of DAH in a patient undergoing treatment of psoriatic arthritis. Conclusion A 46-year-old woman developed DAH during ustekinumab treatment. Symptoms abated after drug discontinuation and supportive treament. Clinicians must remain mindful of this rare complication of ustekinumab use in order to avoid potential delays in appropriate DAH treatment.

scholarly journals Asymptomatic Pneumopericardium with Atrial Fibrillation after Pericardiocentesis: A Case Report

2019 ◽  
Author(s):  
Hammad Shah ◽  
Momin Salahudin ◽  
Afrasyab Altaf
Keyword(s):  
Computed Tomography ◽  
Atrial Fibrillation ◽  
Rare Complication ◽  
Computed Tomography Scan ◽  
X Ray ◽  
Pericardial Cavity ◽  
Chest X Ray ◽  
Pharmacological Cardioversion ◽  
Tension Pneumopericardium ◽  
Tomography Scan

Air inside the pericardial cavity is called “pneumopericardium”, which is a rare complication of pericardiocentesis. Pneumopericardium may resolve spontaneously or can complicate into tension pericardium, requiring urgent aspiration. We herein describe a 55-year-old man with pericardial effusion who underwent pericardiocentesis. The patient was completely asymptomatic after the procedure. Chest radiograph and computed tomography scan accidentally detected pneumopericardium, which was subsequently complicated by atrial fibrillation and necessitated pharmacological cardioversion. We found no case of asymptomatic pneumopericardium complicated by atrial fibrillation after pericardiocentesis in our literature review. Clinicians and cardiologists should do a post pericardiocentesis chest X-ray to diagnose pneumopericardium and prevent the catastrophic complications of tension pneumopericardium.

scholarly journals Are non-radiation-based imaging modalities effective for objectively assessing and monitoring patients with pectus deformities?

2020 ◽  
Vol 31 (4) ◽  
pp. 536-539
Author(s):  
Azhar Hussain ◽  
Akshay Patel ◽  
Ian Hunt
Keyword(s):  
Computed Tomography ◽  
Assessment Tool ◽  
Imaging Modalities ◽  
Treatment Modalities ◽  
Clinical Question ◽  
Computed Tomography Scan ◽  
Study Type ◽  
High Degree ◽  
Tomography Scan

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was ‘What is the role of non-radiation-based imaging modalities in the management of pectus deformities?’. Altogether 29 papers were found using the reported search, of which 8 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that non-radiation-based imaging modalities provide a safe and easily implemented alternative to traditional computed tomography scan assessment for pectus deformities. This is particularly true for deformities on the more severe end of the spectrum and as an aid in providing an on-going assessment tool particularly in treatment modalities requiring a high degree of compliance (external bracing or vacuum bell therapy).

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