External auditory canal paraganglioma: an atypical presentation

2012 ◽  
Vol 126 (12) ◽  
pp. 1278-1280 ◽  
Author(s):  
N Grover ◽  
F Amen ◽  
A Gallimore ◽  
G Brookes
Keyword(s):  
Clinical Diagnosis ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Clinical Presentation ◽  
External Ear ◽  
Computed Tomography Scan ◽  
Low Threshold ◽  
Atypical Presentations ◽  
Superior Portion ◽  
Tomography Scan

AbstractObjective:We present the first published description of a painful paraganglioma of the external auditory canal. Atypical histopathology made the diagnosis difficult. We discuss the potential pitfalls of clinical diagnosis and treatment of such a case.Clinical presentation:A 49-year-old woman presented with left-sided otalgia, hearing loss and tinnitus. Physical examination revealed a firm swelling arising from the superior portion of the left external auditory canal. A clinical diagnosis of otitis externa was made.Intervention:There was minimal response to medical treatment. The swelling was aspirated, leading to brisk bleeding. A tumour was suspected from the computed tomography scan, and confirmed by a biopsy. The patient underwent excision of the paraganglioma. The histopathology was atypical, making diagnosis difficult.Conclusion:Such unusual masses of the external ear should always be borne in mind, especially when dealing with atypical presentations of commonly encountered diseases. Clinicians should have a low threshold for early intervention with imaging and biopsy.

Is the Acidic pH of the External Auditory Canal Playing a Significant Role in the Treatment of Acute Otitis Externa?

2018 ◽  
Vol 69 (8) ◽  
pp. 2304-2305
Author(s):  
Oana Ruxandra Iana ◽  
Dragos Cristian Stefanescu ◽  
Viorel Zainea ◽  
Razvan Hainarosie
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Proton Pumps ◽  
Acidic Ph ◽  
External Ear ◽  
Ph Values ◽  
The World ◽  
Subcutaneous Tissues ◽  
Low Levels ◽  
Value Changes

Variable pH values for skin have been reported in the literature, all within the acidic range, varying from 4.0 up to 7. 0. The origin of the acidic pH remains conjectural, and several factors have been incriminated with this role, such as eccrine and sebaceous secretions as well as proton pumps. Keeping low levels of pH prevents microbial dispersal as well as multiplication. The skin in the external auditory canal is also covered with this acidic mantle with antimicrobial value. Changes of pH in the external ear can lead to acute otitis externa. This condition is defined by the inflammation and infection of the cutaneous and subcutaneous tissues of the external auditory canal. 10% of the world�s population may suffer from acute otitis externa at least once in their lifetime. This paper aims to consolidate the relevance of an acidic pH in the healthy external ear and its relation to the pathogenesis and treatment of otitis externa through a prospective and interventional clinical study on 80 patients who presented to the outpatient department at Prof. Dr D. Hociota ENT Institute in Buch

Non-malignant gall bladder perforation: Our experience from an institution-based retrospective analysis of 25 cases

2021 ◽  
pp. 004947552110365
Author(s):  
Abhijeet Kumar ◽  
Nirmal Prasad Shah ◽  
Narendra Pandit ◽  
Suresh Prasad Sah ◽  
Rakesh Kumar Gupta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Gall Bladder ◽  
Clinical Presentation ◽  
Gallbladder Perforation ◽  
Type I ◽  
Computed Tomography Scan ◽  
Duration Of Hospital Stay ◽  
Symptoms And Signs ◽  
Tomography Scan ◽  
Better Than

Gallbladder perforation still continues to perplex surgeons; 25 such patients diagnosed either pre- or intra-operatively and managed at our institute over the last 10 years period were analysed. Only eight were diagnosed pre-operatively, while a large majority (17) had a wrong initial working diagnosis. Symptoms and signs were variable. No blood investigation was specific. A computed tomography scan was generally better than ultrasound in detecting the perforation. All our cases were managed operatively with no mortality and a mean duration of hospital stay of 6.8 days. Most perforations were extra-hepatic (84%) and those of Niemeier’s type I (52.2%). Because of its varied clinical presentation, gallbladder perforation is often an intra-operative diagnosis, but early intervention carries a good outcome.

scholarly journals Features of external auditory canal anatomy

2021 ◽  
Vol 20 (1) ◽  
pp. 72-77
Author(s):  
I. A. Anikin ◽  
◽  
S. A. Eremin ◽  
A. E. Shinkareva ◽  
S. I. Sitnikov ◽  
...  
Keyword(s):  
Auditory System ◽  
Sound Wave ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
External Ear ◽  
Tympanic Cavity ◽  
Ear Canal ◽  
Ear Diseases ◽  
Clinical Observations ◽  
The Relationship

The external auditory canal is not only a part of the external ear, but also an integral part of the human auditory system, which conducts and amplifies the sound wave. In the field of otosurgery, it is often the priority access to the tympanic cavity, and therefore it is necessary to clearly understand the features of its anatomy. The dimensions and anatomy of the external auditory canal are extremely variable: the length is 2–3,5 cm, the diameter ranges from 5-9 mm, it is somewhat curved in the horizontal and frontal planes and consists of a membranous cartilaginous part and a bony part, between which there is the most the bottleneck – the isthmus. The ear canal is covered with skin, the thickness and structure of which depends on the section of the ear canal. The membranous cartilaginous section contains sebaceous and sulfur glands. Studies identify several forms of the bony part of the ear canal: conical, hourglass-shaped, ovoid, reverse conical, and cylindrical. The endoscopic scale (CES) for the visibility of the tympanic membrane was also proposed for the convenience of assessment. It has been suggested that the shape of the external auditory canal is an etiological factor in chronic otitis externa. Unambiguous interpretations of the relationship between ear diseases and the shape of the external auditory canal have not yet been obtained, but modern developments tend to consider its importance in the development of ear diseases. Clinical observations show that certain anatomical forms of it may be involved in the pathogenesis of chronic inflammation, since they interfere with proper self-cleaning.

Epidemiology, diagnosis, and assessment on non-traumatic subarachnoid haemorrhage

2016 ◽  
Author(s):  
Chethan P. Venkatasubba Rao ◽  
Jose Ignacio Suarez
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Clinical Presentation ◽  
Severe Headache ◽  
Cranial Computed Tomography ◽  
Computed Tomography Scan ◽  
Neurological Signs ◽  
Grading Systems ◽  
Traumatic Subarachnoid Haemorrhage ◽  
Males And Females ◽  
Tomography Scan

Non-traumatic subarachnoid haemorrhage (ntSAH) is a neurological emergency. Clinical presentation is usually with severe headache, with or without abnormal neurological signs on clinical examination. NtSAH affects both males and females from 30 to 70 years, and the incidence increases with age. The incidence varies widely around the world. The gender distribution also varies in different countries, although overall the incidence is higher in women than in men. The commonest cause is rupture of an intracranial aneurysm, accounting for around 80% of cases. Diagnosis is usually by finding blood in the classical subarachnoid distribution on a cranial computed tomography scan. A number of grading systems are used to classify ntSAH.

scholarly journals Dacryocele in an adult presenting as facial cellulitis

2019 ◽  
Vol 1 (1) ◽  
pp. 48-51
Author(s):  
Prerana Kansakar ◽  
Gangadhara Sundar
Keyword(s):  
Clinical Presentation ◽  
Computed Tomography Scan ◽  
Effective Treatment Option ◽  
Silicone Tube ◽  
Inferior Meatus ◽  
Tender Mass ◽  
Silicone Tube Intubation ◽  
Painful Mass ◽  
Tomography Scan ◽  
Medial Canthal Tendon

A 47-year-old male presented with left sided facial cellulitis of one-week duration associated with a painful mass over the left medial canthal area. On examination, there was a firm, tender mass below the medial canthal tendon. Computed tomography scan revealed a bulky, cystic lesion at the left inferomedial orbit and medial maxilla with bony remodeling suggestive of a chronic dacryocele. The patient underwent marsupialization of the dacryocele at the inferior meatus with silicone tube intubation. His symptoms of epiphora resolved after surgery. We describe a rare clinical presentation of dacryocele in an adult and its simple, yet effective treatment option.

scholarly journals Clinical and biological characterization of macroprolactinemia with and without prolactin-IgG complexes

2003 ◽  
pp. 201-207 ◽  
Author(s):  
J De Schepper ◽  
J Schiettecatte ◽  
B Velkeniers ◽  
Z Blumenfeld ◽  
M Shteinberg ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Biological Characterization ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Heterogeneous Condition ◽  
Pituitary Lesion ◽  
Tomography Scan ◽  
Precipitation Test

OBJECTIVE: Macroprolactinemia, which can be detected by a polyethylene glycol (PEG) precipitation test, is a clinically and biologically heterogeneous condition. In this study, we analyzed whether the clinical presentation, the hormonal findings and the in vitro lactogenic activity differed between macroprolactinemic patients with and without circulating prolactin (PRL)-IgG complexes. DESIGN: Clinical data were reviewed and additional hormonal studies were performed in 50 hyperprolactinemic patients with macroprolactinemia. METHODS: Macroprolactinemia was identified by a PRL recovery after PEG precipitation of <50%, as measured by an automated commercial immunoassay system and circulating PRL-IgG complexes by an abnormal PRL binding to anti-IgG agarose. RESULTS: PRL-IgG complexes were found in 46 patients. The origin of hyperprolactinemia in these 46 patients was idiopathic in 33 patients, while a pituitary lesion or stalk magnetic resonance imaging or computed tomography scan was detected in 13 patients found compression. Galactorrhea was found in 11 of these 46 patients, while this condition was present in three of the four patients without circulating PRL-IgG complexes. The median free PRL concentration was significantly lower in patients with PRL-IgG complexes than in the group without complexes (243 vs 969 mIU/l; P<0.005), whereas median total PRL immunoreactivity and median PRL bioactivity in the Nb2 assay were not significantly different. In patients with circulating PRL-IgG complexes, Nb2 bioassay results correlated significantly with total PRL immunoreactivity (r=0.64; P<0.0001), but not with free PRL results (r=0.24; P<0.17). CONCLUSIONS: These results indicate that PRL-IgG complexes (i) account for most cases of macroprolactinemia--as identified by PEG precipitation--in hyperprolactinemic patients presenting with a variety of diagnoses, (ii) are not associated with a specific clinical presentation, (iii) can be found in patients with diverse pituitary pathologies, and (iv) possess an in vitro lactogenic activity in the Nb2 bioassay in relation to their immunoreactivity.

scholarly journals A Mammary Nodule Mimicking Breast Cancer

2014 ◽  
Vol 99 (3) ◽  
pp. 200-202 ◽  
Author(s):  
Leonardo Solaini ◽  
Anna Bianchi ◽  
Luigi Filippini ◽  
Laura Lucini ◽  
Edda Simoncini ◽  
...  
Keyword(s):  
Renal Mass ◽  
Clinical Presentation ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Lymph Node Biopsy ◽  
Computed Tomography Scan ◽  
Breast Metastasis ◽  
Primary Tumors ◽  
Node Biopsy ◽  
Tomography Scan

Abstract Metastases to the breast from extramammary tumors are rare. Several clinical, radiologic, and histologic signs can help to distinguish metastases from breast primary tumors. In the present study, we present a case of a left-sided breast metastasis from renal cancer in a 44-year-old woman whose clinical presentation was a mammary nodule in the upper internal quadrant. The patient underwent quadrantectomy with sentinel lymph node biopsy. The histology revealed a clear cell carcinoma. On computed tomography scan a 5×8-cm left renal mass with pulmonary, liver, and intrapericardial nodules was found. The patient underwent palliative care and died after 4 months. Metastasis to the breast is rare, but all of those clinical, radiologic, and histologic signs more typical of extramammary malignancies should always be considered in order to choose the best treatment strategy.

scholarly journals Nasal Septal Angiofibroma

2021 ◽  
pp. 014556132110265
Author(s):  
Oratile Thobejane ◽  
Shivesh Maharaj
Keyword(s):  
Computed Tomography ◽  
Clinical Presentation ◽  
Vascular Tumor ◽  
Adolescent Males ◽  
Juvenile Nasopharyngeal Angiofibroma ◽  
Computed Tomography Scan ◽  
Excessive Bleeding ◽  
Nasopharyngeal Angiofibroma ◽  
Extranasopharyngeal Angiofibroma ◽  
Tomography Scan

Juvenile nasopharyngeal angiofibroma is a benign vascular tumor seen predominantly in adolescent males in the second decade of life. Extranasopharyngeal angiofibroma includes vascular fibrous masses that occur outside the nasopharynx. The diagnosis of an angiofibroma is based on the clinical presentation and imaging, with biopsies being avoided to avoid excessive bleeding. Computed tomography scan is considered sufficient for the diagnosis of extranasopharyngeal angiofibroma as it clearly delineates and identifies the tumor.

scholarly journals A Case of Successful Ablation of a Gastrophrenic Fistula withn-Butyl-2-Cyanoacrylate

2008 ◽  
Vol 22 (1) ◽  
pp. 69-70 ◽  
Author(s):  
Ashish Mahajan ◽  
G Rao ◽  
Gordon Lees ◽  
Richard Owen
Keyword(s):  
Computed Tomography ◽  
Conservative Management ◽  
Clinical Presentation ◽  
Relevant Literature ◽  
Imaging Findings ◽  
Subphrenic Abscess ◽  
Computed Tomography Scan ◽  
Treatment Progress ◽  
Successful Ablation ◽  
Tomography Scan

A 79-year-old woman with a fistula between a subphrenic abscess and the fundus of the stomach was successfully treated withn-Butyl-2-Cyanoacrylate. Conservative management had failed. Clinical presentation, treatment progress and imaging findings by computed tomography scan, ultrasound, gastroscopy and fluoroscopy are presented, along with a brief review of the relevant literature.

Cavernous haemangioma of external ear canal

2008 ◽  
Vol 122 (8) ◽  
Author(s):  
E Covelli ◽  
E De Seta ◽  
F Zardo ◽  
D De Seta ◽  
R Filipo
Keyword(s):  
External Auditory Canal ◽  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Cavernous Haemangioma ◽  
External Ear ◽  
Ear Canal ◽  
Imaging Studies ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Operative Complications

AbstractObjectives:The aim of this study was to document the occurrence of a cavernous haemangioma of the external auditory canal, and to review the literature on this pathology.Methods:We report the clinical presentation, imaging studies, surgical procedure and histological findings for a cavernous haemangioma of the external auditory canal.Results:This patient represents the fourth reported case of cavernous haemangioma affecting only the external auditory canal. A cavernous haemangioma of the external auditory canal, not affecting the tympanic membrane, was surgically removed, without post-operative complications.Conclusions:Cavernous haemangioma of the external auditory canal is a rare otological pathology. Computed tomography imaging is important in order to precisely define and localise the site and size of the lesion. Histological examination is necessary for the correct diagnosis of the pathology.

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