Critical airway induced by formalin injection: case report

2013 ◽  
Vol 128 (1) ◽  
pp. 107-109 ◽  
Author(s):  
C-F Yeh ◽  
T-L Lee

AbstractBackground:Formalin is a saturated aqueous solution comprising 37–40 per cent formaldehyde. It is often used in histopathology laboratories as a tissue preservative. The ingestion or injection of formalin has an immediate, powerful and destructive impact on humans. This paper reports a case of formalin injection and reviews the relevant world literature.Case report:A 36-year-old male attempted suicide by injecting formalin into the right side of his neck, resulting in a critical airway situation. An endotracheal tube was inserted and a tracheostomy was then performed to secure his airway. After receiving medical treatment, including antibiotics and N-acetyl cysteine, the status of the patient's airway improved.Conclusion:When examining patients who have injected substances into their neck, the possibility of deep neck inflammation with airway compromise should be considered. Immediate management, which should include establishment of a definitive airway and prophylactic infection control, is crucial.

2009 ◽  
Vol 123 (5) ◽  
Author(s):  
T Xue ◽  
L Wei ◽  
L Qiao ◽  
D J Zha ◽  
X D Chen ◽  
...  

AbstractObjective:We report an extremely rare case of malignant triton tumour.Method:Case report and review of the world literature concerning malignant triton tumour and heredity.Results:We present the case of a 47-year-old woman who underwent a lateral rhinotomy surgical resection of a malignant triton tumour of the right paranasal sinuses, a rare location for this tumour. Thereafter, she received adjuvant radiotherapy. The prognosis for this group of tumours is poor. Radical surgical excision of the tumour followed by radiation therapy must be the treatment of choice.Conclusion:To our knowledge, this is a rare report in the world literature of malignant triton tumour. This case indicates that malignant triton tumour of the paranasal sinuses is a rare disease which otolaryngologists should be aware of, and one which should be included in the differential diagnosis of malignant lesions involving the sinonasal tract.


Author(s):  
Kajetan Kiełbowski ◽  
Estera Bakinowska ◽  
Michał J. Kubisa ◽  
Janusz Wójcik ◽  
Bartosz Kubisa

Introduction: An esophagorespiratory fistula is a pathological communication between the esophagus and respiratory tract. The most common type is a communication with the trachea, while the least common is with lung parenchyma. These fistulas are classified as congenital or acquired while etiology is benign or malignant. Aim: We present a case report of a patient who developed esophagopulmonary fistula several years after gunshot in the right side of the chest. Additionally, we discuss the treatment methods and compare the outcomes with other case studies and analyses from world literature. Case study: A 48-year-old male patient was admitted to the Department of Thoracic Surgery and Transplantation due to bleeding from the respiratory tract. Radiological images revealed a fistula between the esophagus and right lung parenchyma. Furthermore, bronchiectasis in the right lung was found. Tissues of the fistula, right middle and lower lobes were resected. The patient required renewed hospitalization due to pleural empyema. Furthermore, recurrence of the fistula was observed. Results and discussion: Treatment of esophagorespiratory fistula depends on the etiology and location of the pathological communication. Surgery provides the best possible outcomes in patients with a benign fistula. Proximal location requires cervicotomy, while distal location a thoracotomy. In addition, a distal fistula may damage lung parenchyma. Conclusions: A long-term distal fistula may require pulmonary resection, but early diagnosis would help to avoid more invasive procedures. As symptoms are non-specific and benign etiology is not frequent, thorough examination in search of malignancy is required.


2010 ◽  
Vol 1 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Raghunath Puttaiah ◽  
Raman Bedi ◽  
Sadashiva Shetty

ABSTRACT The purpose of this study was to assess the status of Dental Infection Control and Occupational Safety in India. 456 respondents (dentists) used this self-administered survey instrument containing about 96 variables. Over 95% of respondents felt that HIV and Hepatitis were infectious disease risks of concern and that infectious diseases were on the rise in India. Education and training in Dental Safety were lacking and that the latter are made mandatory in dental school curricula. Availability and access to safety materials and equipment were lacking in India and affordability was an issue. While respondents had adequate knowledge in the subject of infectious diseases, attitude (Stigma) towards treating infected patients was a negative factor with a significant number stating that double gloving was necessary, medical history dictated additional precautions and finally that care providers had the right to refuse care to Infectious patients. Although standards in Dental Safety are in place, implementation of educational (both didactic in schools and continuing education for practitioners) is a priority. Dental industry from within and outside India must play a role in this effort. In conclusion, significant structural and educational support activities are indicated with improvements in access and availability of materials and equipment to improve dental safety in India. Further, stigma of infectious diseases must be eradicated if not reduced towards infectious patients.


Author(s):  
Nazia T. Sheikh ◽  
Rahil Muzaffar ◽  
Sumat UL Khurshid

The most common benign salivary gland tumor is the pleomorphic adenoma (PA). They can attain grotesque proportions and weigh several kilograms. They can cause facial disfigurement and, if untreated, could lead to airway compromise. Authors report a case of a large PA arising from the right submandibular salivary gland in a 48-year-old male. The lesion measured 9cmx8cmx5cm.


2010 ◽  
Vol 1 (2) ◽  
pp. 125-127
Author(s):  
Vikram Kulkarni ◽  
Vidisha Athanikar ◽  
Trupti Katti

Abstract Objective To report a rare case of angioleiomyoma with regard to size, type (variant) and location. Case report 45 years old male presented with painless swelling on the right side of the face since 2 years. On examination, the swelling was 4 cm × 3 cm in size, firm in consistency with well-defined margins. It was not adhering to overlying skin and underlying structures. The swelling was excised and sent for histopathological diagnosis. It was reported as solid variant of angioleiomyoma based on microscopic features. Conclusion According to the world literature, large angioleiomyoma on face is rare or not reported yet (usually less than 2 cm) and location (usually externar ear, tip of nose, lip). This case is presented for its uniqueness in size —large (4 cm x 3 cm); painlessness; variant; and location.


2020 ◽  
Vol 67 (4) ◽  
pp. 230-232
Author(s):  
Nanako Ikeda ◽  
Tomoka Matsumura ◽  
Haruna Kono ◽  
Yukiko Baba ◽  
Miho Hanaoka ◽  
...  

This is a case report of a 75-year-old man scheduled for apical resection and cystectomy of odontogenic cysts involving both maxillary central incisors who presented with a previously unknown laryngeal mass that was discovered prior to intubation. Following induction and easy mask ventilation, direct laryngoscopy revealed a large mass on the right side of the glottis that impeded passage of a standard oral endotracheal tube. Successful atraumatic intubation was performed with the combination of a video laryngoscope (King Vision, Ambu Inc, Ballerup, Denmark) and a gum elastic bougie (GEB). Although a GEB may not be used routinely for tracheal intubation, it facilitated smooth advancement of the endotracheal tube without damaging the laryngeal mass when used in combination with video laryngoscopy.


2009 ◽  
Vol 123 (10) ◽  
pp. 1184-1187 ◽  
Author(s):  
B S Goh ◽  
S P Tan ◽  
S Husain ◽  
I M Rose ◽  
L Saim

AbstractObjective:We report an extremely rare case of metachronous inflammatory myofibroblastic tumour in the temporal bone.Method:Case report and review of the world literature on metachronous inflammatory myofibroblastic tumour.Results:Inflammatory myofibroblastic tumour in the temporal bone is rare, and metachronous inflammatory myofibroblastic tumour in the temporal bone has never been reported in the English medical literature. We report a case of inflammatory myofibroblastic tumour in the right temporal bone in a 27-year-old woman presenting with right-sided otalgia and progressive hearing loss. A metachronous lesion was discovered in the left temporal bone one year later. The patient underwent surgical excision of the tumour via canal wall down mastoidectomy for both lesions. Long term steroids were prescribed after both surgical procedures. At follow up three years after the last procedure, the patient remained free of disease.Conclusion:To the best of our knowledge, this is the first reported case of metachronous inflammatory myofibroblastic tumour in the temporal bone.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


2006 ◽  
Vol 55 (4) ◽  
pp. 349
Author(s):  
Ju Won Lee ◽  
Kyung Hee Lee ◽  
Seung Min Kwak ◽  
Yong Sun Jeon ◽  
Soon Gu Cho ◽  
...  
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