scholarly journals Life-Threatening Mediastinal Teratoma of Infant Requiring Emergency Surgical Removal

2022 ◽  
Vol 11 (01) ◽  
pp. e7-e10
Author(s):  
Nicole Piber ◽  
Wilko Weichert ◽  
Jürgen Hörer ◽  
Masamichi Ono
Keyword(s):  
Mature Teratoma ◽  
Surgical Removal ◽  
Computed Tomography Scan ◽  
Mediastinal Teratoma ◽  
Emergent Operation ◽  
Progressive Dyspnea ◽  
Life Threatening ◽  
Heart Center ◽  
Threatening Situation ◽  
Tomography Scan

Abstract Background Teratoma is a tumor derived from fetal germ cells with aberrant differentiation. Case Description A 3-month-old infant with a mediastinal tumor was referred to our heart center. She presented with progressive dyspnea, cyanosis, and the need to be manually ventilated. The computed tomography scan displayed a huge tumor restricting the distal trachea including the bifurcation. An emergent operation was performed and the tumor was completely removed. Histological examination confirmed a mature teratoma. Conclusion In such life-threatening situation, the early detection and the immediate operation are very important for the management of rapidly-progressing mediastinal teratomas compressing the respiratory tract.

scholarly journals Thoracoabdominal teratoma: Rare location

2011 ◽  
Vol 64 (1-2) ◽  
pp. 89-92 ◽  
Author(s):  
Radovan Cvijanovic ◽  
Dejan Ivanov ◽  
Mirjana Zivojinov
Keyword(s):  
Mature Teratoma ◽  
Left Kidney ◽  
Tumour Mass ◽  
Low Back ◽  
Definite Diagnosis ◽  
Computed Tomography Scan ◽  
Clear Fluid ◽  
Cystic Formation ◽  
Rare Location ◽  
Tomography Scan

Introduction. Teratomas are tumours derived from pluripotent germ cells. They appear most frequently on ovaries. However, other locations are also possible: testicles, retroperitoneum, stomach, neck, and bottom of the mouth cavity. It is not very common to find teratomas in two different body cavities. Case report. A 51-year-old patient visited her doctor complaining of an intensive pain which suddenly appeared in her low back. The computed tomography scan of the abdomen was performed, which revealed cystic formation, 12.5 x 18 cm in size, with remarkable capsule visualization. It had paraaortic, subdiaphragmatic, retropancreatic and suprarenal left localisation with signs of compression and pancreatic dislocation. The cystic formation had a septated appearance filled with clear fluid in all its parts except at the bottom, where it was dense. The intra-operative finding was left retroperitoneal mass placed above the left kidney, dislocating surrounding structures and their infiltration could not be excluded for sure. A tumour mass passed through the diaphragmatic hiatus and continued in the left thoracic space. The cyst was only drained and the fenestration was performed. Three months later, the second operation was performed-splenectomy, left suprarenaladenectomy, left nephrectomy, aortic deliberalisation, the left diaphragmatic crus was opened and tumour mass was completely removed from the thoracic space. The histological examination showed mature teratoma with morphological characterisations of the skin, so the definite diagnosis was dermoid cyst. Conclusion. The patient presented with thoracoabdominal teratoma. Although without malignant transformation, the teratoma required splenectomy, supraadrenalectomy and nefrectomy due to its position and size.

scholarly journals Progressive Dyspnea Associated with a Crazy-Paving Appearance on a Chest Computed Tomography Scan

2006 ◽  
Vol 13 (5) ◽  
pp. 269-271 ◽  
Author(s):  
Nimrod Maimon ◽  
Narinder Paul ◽  
Gregory P Downey
Keyword(s):  
Computed Tomography ◽  
Pulmonary Alveolar Proteinosis ◽  
Present Report ◽  
Computed Tomography Scan ◽  
Chest Computed Tomography ◽  
Progressive Dyspnea ◽  
Computed Tomography Scanning ◽  
Alveolar Proteinosis ◽  
Tomography Scan ◽  
Tomography Scanning

A ‘crazy-paving’ appearance of the lungs on computed tomography scanning of the chest was first described nearly 20 years ago in patients with pulmonary alveolar proteinosis, and was thought to be characteristic of this condition. However, this pattern has subsequently been reported in a variety of pulmonary diseases and is now considered to be nonspecific. The present report describes a case of a 74-year-old man in whom congestive heart failure presented with a crazy-paving appearance of the lungs on a chest computed tomography scan. This uncommon association illustrates the importance of the correlation of clinical and radiographic information.

scholarly journals Cardiac tamponade due to ruptured cystic teratoma: report of two cases

2021 ◽  
Vol 2021 (6) ◽  
Author(s):  
Do Kyun Kang ◽  
Min Kyun Kang ◽  
Woon Heo ◽  
Youn-Ho Hwang
Keyword(s):  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Cystic Teratoma ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cystic Mass ◽  
Computed Tomography Scan ◽  
En Bloc ◽  
Mediastinal Teratoma ◽  
Tomography Scan

ABSTRACT We report the rare two cases of cardiac tamponade due to ruptured cystic teratoma. In both cases, a chest computed tomography scan showed large cystic mass with large amount of pericardial effusion. Transthoracic echocardiogram revealed cardiac tamponade physiology. En bloc resection of the mass was performed and pathologic examination showed mature cystic teratoma. The postoperative course of patients was uneventful. A cystic mediastinal teratoma should be considered in the differential diagnosis of pericardial effusion.

scholarly journals Giant oesophageal liposarcoma: case report

2008 ◽  
Vol 41 (6) ◽  
pp. 419-421
Author(s):  
Richard Page ◽  
Ranjeet Narlawar ◽  
John Holemans ◽  
John Gosney ◽  
Richard Warwick ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Mediastinal Mass ◽  
Surgical Removal ◽  
Imaging Findings ◽  
Computed Tomography Scan ◽  
Posterior Mediastinal Mass ◽  
Large Size ◽  
Rare Tumours ◽  
Posterior Mediastinal ◽  
Tomography Scan

We describe imaging findings of a oesophageal liposarcoma in a 66 year old man. The computed tomography scan was performed after a chest radiograph showed a large posterior mediastinal mass. Oesophageal liposarcomas are rare tumours. They can achieve large size before they become symptomatic. Our patient was successfully managed with complete surgical removal.

Perioperative Cardiorespiratory Complications in Adults with Mediastinal Mass

2004 ◽  
Vol 100 (4) ◽  
pp. 826-834 ◽  
Author(s):  
Philippe Béchard ◽  
Louis Létourneau ◽  
Yves Lacasse ◽  
Dany Côté ◽  
Jean S. Bussières
Keyword(s):  
Pulmonary Function ◽  
Mediastinal Mass ◽  
Pulmonary Function Tests ◽  
Signs And Symptoms ◽  
Computed Tomography Scan ◽  
Respiratory Complications ◽  
Function Tests ◽  
Postoperative Respiratory Complications ◽  
Life Threatening ◽  
Tomography Scan

Background Patients with a mediastinal mass are at risk for cardiorespiratory complications in the perioperative period. The authors' objectives were to evaluate the incidence of life-threatening intraoperative cardiorespiratory and postoperative respiratory complications in adult patients and to study the usefulness of clinical signs and symptoms, radiologic evaluation, and pulmonary function tests in the determination of the perioperative risk. Methods The authors reviewed the investigation and treatment of adult patients presenting with anterior or middle mediastinal masses for surgery under anesthesia between January 1994 and July 2000. Results Ninety-eight patients underwent 105 anesthetic cases. The incidences of intraoperative cardiorespiratory and postoperative respiratory complications were 4 in 105 and 11 in 105, respectively. No collapse of the airways occurred during anesthesia. However, a high incidence of early postoperative life-threatening respiratory complications was observed (7 in 105). In a multivariate logistic regression analysis model, perioperative complications were predicted by the occurrence of cardiorespiratory signs and symptoms at the initial presentation (odds ratio [OR], 6.2) and the presence of combined obstructive and restrictive patterns (mixed pulmonary syndrome) on pulmonary function tests (OR, 3.9). Intraoperative complications were associated with pericardial effusion on computed tomography scan (OR, 19.8). Postoperative respiratory complications were related to tracheal compression of more than 50% on preoperative computed tomography scan evaluation (OR, 7.4) and mixed pulmonary syndrome on pulmonary function tests (OR, 15.1). Conclusion Obstruction of the airway in an adult with a mediastinal mass is a rare event in the intraoperative period. Nevertheless, caution should be observed for the occurrence of early postoperative life-threatening respiratory complications. Patient at high risk of perioperative complications can be identified by the occurrence of cardiopulmonary signs and symptoms at presentation, combined obstructive and restrictive pattern on pulmonary function tests, and computed tomography scan findings (tracheal compression > 50%, pericardial effusion, or both).

scholarly journals A Rare Case of Haemoptysis Revealing Aortic Coarctation in an Adult

2020 ◽  
Author(s):  
Ahmed Ben Saad ◽  
Asma Achour ◽  
Asma Migaou ◽  
Saousen Cheikh Mhamed ◽  
Nesrine Fahem ◽  
...  
Keyword(s):  
Aortic Coarctation ◽  
Clinical Manifestations ◽  
Past Medical History ◽  
Computed Tomography Scan ◽  
Bronchial Arteries ◽  
Contrast Enhanced ◽  
Threatening Condition ◽  
Internal Mammary ◽  
Life Threatening ◽  
Tomography Scan

Haemoptysis is a frequently occurring but sometimes life-threatening condition. Congenital cardiovascular abnormalities are rare causes of haemoptysis. We report a case of a 33-year-old man without any past medical history complaining of haemoptysis with no other associated clinical manifestations. A contrast-enhanced chest computed tomography scan revealed aortic coarctation with dilation of the internal mammary, intercostal and bronchial arteries. He underwent stent placement after balloon angioplasty with favourable outcomes.

scholarly journals Slow-Growing Mature Mediastinal Teratoma: Case Report

2020 ◽  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Superior Vena ◽  
Mature Teratoma ◽  
Vena Cava ◽  
Benign Tumors ◽  
Mediastinal Teratoma ◽  
Life Threatening ◽  
The Right ◽  
Slow Growing

This report describes the case of a 39-year-old man with a mediastinal teratoma. For seven years the patient had been suffering a dyspnea on exertion. In the last few weeks, the dyspnea increased and new symptoms appeared such as dry cough, chest pain and palpitations. Computed tomography revealed a medium-sized tumor that was markedly compressing the superior vena cava and the right atrium. Surgery was performed, and a benign mature teratoma was diagnosed. Mature mediastinal teratomas are benign tumors, but they can be adherent to collateral structures in the chest leading to life threatening complications.

scholarly journals Management of iatrogenic displacement of maxillary third molar into pterygomandibular space: case report

2020 ◽  
Vol 6 (10) ◽  
pp. 410
Author(s):  
Poonam Sengar ◽  
Deborah Sybil ◽  
Imran Khan ◽  
Sanjay Singh
Keyword(s):  
Computed Tomography ◽  
Oral Surgery ◽  
Third Molar ◽  
Molar Tooth ◽  
Surgical Removal ◽  
Computed Tomography Scan ◽  
Unsuccessful Attempt ◽  
Maxillary Third Molar ◽  
Pterygomandibular Space ◽  
Tomography Scan

<p>Third molar surgery is the most common minor oral surgical procedure performed in dental clinics. Displacement of maxillary third molar tooth into adjacent spaces such as infratemporal fossa, maxillary sinus has been reported earlier. We present an unusual case of iatrogenic displacement of maxillary third molar into pterygomandibular space. A 24 year old dental undergraduate reported to Department of Oral surgery with complaints of trismus and swelling in the check region after unsuccessful attempt at extraction of maxillary right third molar tooth. Computed tomography scan localized the tooth in the pterygomandibular space. A surgical removal of the displaced tooth was performed under general anesthesia. Displaced tooth was approached by an intraoral vertical incision along the anterior border of ramus of mandible. Correlating with computed tomography scan, tooth was located and removed followed by suturing of the surgical site. A good knowledge of the operating area and adjoining spaces is essential to avoid iatrogenic damage to tissues during minor oral surgery procedures. Adequate exposure and appropriate instrumentation during surgery can prevent undue complications and ensure quality patient care.</p>

scholarly journals COVID-19 Induced Immunosuppression resulting in Pulmonary Mucormycosis : A Long COVID sequalae

2021 ◽  
Vol 22 (2) ◽  
pp. 150-154
Author(s):  
Dhruv Talwar ◽  
Sunil Kumar ◽  
Sourya Acharya ◽  
Sparsh Madaan ◽  
Vidyashree Hulkoti
Keyword(s):  
Low Dose ◽  
Immunocompromised Host ◽  
Health It ◽  
Healthy Male ◽  
Computed Tomography Scan ◽  
High Resolution Computed Tomography ◽  
Pulmonary Mucormycosis ◽  
Life Threatening ◽  
Tomography Scan ◽  
Common Manifestation

With increasing incidence of Severe Acute Respiratory Distress Virus 2(SARS -CoV -2) in India, there has been growing reports of super infections in post covid 19 period. Long COVID refers to persistence of COVID19 symptoms for weeks to months. While most common manifestation of long COVID is fatigue and ill health, it may lead to development of life-threatening complications like Pulmonary Mucormycosis. We report a case of 54 year young, non-diabetic previously healthy male who had moderate COVID19 treated with low dose steroids and recovered completely, only to present with hemoptysis 3 months later on High Resolution Computed Tomography Scan of the Chest and Rhizopus fungi on bronchoalveolar lavage confirming Post Covid Pulmonary Mucormycosis in non-immunocompromised host. Patient was managed with dual antifungal therapy intravenous Liposomal Amphotericin B and Posaconazole for 3 weeks, followed by oral Posaconazole. J MEDICINE 2021; 22: 150-154

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