scholarly journals Not Your Average Mediastinal Mass: A Case of a Large Mediastinal Teratoma in a Patient With a History of Polio Disease

2021 ◽  
Author(s):  
Sara M Wilson ◽  
Andrei S B Lojek ◽  
Grettel J Zamora-Berridi ◽  
John A Hodgson
Keyword(s):  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Surgical Approach ◽  
Neuromuscular Disease ◽  
Mediastinal Mass ◽  
Surgical Team ◽  
Anesthetic Induction ◽  
Mediastinal Teratoma ◽  
Anesthetic Considerations ◽  
History Of

ABSTRACT Mediastinal masses can be challenging to the surgical team and anesthetic considerations vary according to the location, pathology, surgical approach, and patient comorbidities. We report the case of a 21 cm symptomatic intrathoracic teratoma in a postpartum patient with a history of poliomyelitis. Significant challenges were presented for anesthetic induction, potential extracorporeal membrane oxygenation, and the use of neuraxial pain techniques and neuromuscular blockade. This case report demonstrates techniques to safely manage a patient with a large symptomatic mediastinal mass and potential neuromuscular disease.

scholarly journals Case Report. Extracorporeal Membrane Oxygenation in Nivolumab Associated Pneumonitis

2017 ◽  
Vol 3 (2) ◽  
pp. 84-88
Author(s):  
Thomas-Michael Schneider ◽  
Friederike Klenner ◽  
Franz Brettner
Keyword(s):  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Therapeutic Option ◽  
High Dose ◽  
Great Success ◽  
Case Presentation ◽  
Computed Tomographic ◽  
Rehabilitation Hospital ◽  
Membrane Oxygenation ◽  
History Of

Abstract Background: Newly approved immunotherapeutic agents, like CTLA-4 inhibitors and antibodies against PD-1, are a promising therapeutic option in cancer therapy. Case presentation: A 74-year-old man, with a history of advanced stage melanoma and treatment with ipilimumab, pembrolizumab and nivolumab, was admitted to the hospital due to respiratory failure with hypoxemia and dyspnoea. He rapidly developed severe acute respiratory distress syndrome (ARDS), which required treatment in the intensive care unit which included mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Computed tomographic imaging (CT) showed signs of a pneumonitis, with an ARDS pattern related to the use of PD-1 antibodies. Treating the patient with high-dose immunosuppressive steroids led to an overall improvement. He was transferred to a rehabilitation hospital and subsequently to his home. Discussion and conclusion: This is a unique case report of a patient suffering a grade 4 adverse event under nivolumab who survived having been treated with ECMO. It highlights the possibility of associated adverse reactions as well as the use of ECMO in palliative care patients. ECMO can be of great success even in patients with malignancies, but careful decision making should be done on a case by case basis.

Bilateral Pharyngoceles (Branchial Cleft Anomalies?) and Endoscopic Surgical Considerations

2005 ◽  
Vol 114 (7) ◽  
pp. 529-532 ◽  
Author(s):  
Christopher Y. Chang ◽  
Julia A. Furdyna
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Surgical Correction ◽  
Laryngeal Nerves ◽  
Branchial Sinus ◽  
Branchial Cleft Anomalies ◽  
History Of ◽  
Branchial Cleft ◽  
Open Versus

A case report of bilateral pharyngoceles without a history of elevated intrapharyngeal pressures is used to support the hypothesis that pharyngoceles may be an adult manifestation of an internal branchial sinus anomaly. The development of a pharyngocele from a branchial sinus origin would suggest a predictable relationship to the hypoglossal, glossopharyngeal, and superior laryngeal nerves, which may influence the choice of surgical approach (open versus endoscopic) and the counseling of patients who are considering surgical correction.

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.

scholarly journals A Conservative Surgical Approach Towards Central Giant Cell Granuloma: A Case Report

2018 ◽  
Vol 30 (3) ◽  
pp. 1-4
Author(s):  
Ahmed Al-Qattan
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Surgical Approach ◽  
Pyogenic Granuloma ◽  
Histopathological Analysis ◽  
Giant Cell Granuloma ◽  
Case Presentation ◽  
Central Giant Cell Granuloma ◽  
History Of ◽  
Bony Lesion

Central giant cell granuloma (CGCG) is an infrequent benign bony lesion of unpredictably aggressive behavior. The precise lesion character is debatable and remains inconclusive. However, three main theories were proposed: a sensitive lesion, a kind of neoplasm, or a developmental anomaly. This is a case presentation of a 16-year-old boy with a dental history of extraction of the lower right first molar, presented to hospital with two months history of swelling in the aforementioned area after the procedure. First biopsy of the swelling was performed outside the Kingdom of Bahrain. As per histopathological findings, the swelling was described as pyogenic granuloma. Second biopsy with necessary workup was conducted in the Kingdom of Bahrain and was confirmed as central giant cell granuloma through histopathological analysis; it was removed surgically.

scholarly journals Anesthesia for a Patient With Excessive Supragastric Belching

2017 ◽  
Vol 64 (4) ◽  
pp. 244-247
Author(s):  
Michelle Wong
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Postoperative Nausea ◽  
Mesenteric Artery ◽  
Dental Anxiety ◽  
Postoperative Nausea And Vomiting ◽  
Preoperative Assessment ◽  
Intravenous Anesthesia ◽  
Anesthetic Considerations ◽  
History Of

Excessive supragastric belching is rarely described in the anesthesia literature. Anesthesia planning of a 26-year-old patient with excessive supragastric belching, history of superior mesenteric artery syndrome (SMAS), and dental anxiety requires preoperative assessment. This case report outlines the anesthetic considerations and the management to facilitate comprehensive dentistry. Key anesthetic considerations include anxiolysis, aspiration risk reduction, total intravenous anesthesia (TIVA), and postoperative nausea and vomiting (PONV) prophylaxis.

Arco aórtico derecho con arteria subclavia izquierda aberrante: Presentación de un caso [Right-sided aortic arch with aberrant left subclavian artery: Case report]

2021 ◽  
Vol 40 (03) ◽  
Author(s):  
Adrían Torres ◽  
Rolando Reyna
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Aortic Arch ◽  
Mediastinal Mass ◽  
Left Subclavian Artery ◽  
X Rays ◽  
Anatomical Variant ◽  
History Of ◽  
The Right ◽  
Arteria Subclavia

<p>Se presenta caso de un paciente con historia de 2 meses de evolución de presentar disfagia, astenia, debilidad generalizada y deposiciones melénicas asociado a dolor abdominal tipo cólico en mesogastrio/epigastrio no irradiado, con dispepsia ocasional exacerbado con la ingesta de alimentos. La placa de tórax revela opacidad paratraqueal derecha con ausencia del boton aórtico izquierdo, con diagnóstico probable de  masa mediastínica. La tomografía de torax contrastata muestra variante anatómica del arco aórtico de ubicación del lado derecho.</p><p> </p><p>Abstract</p><p>We present a case of a patient with a history of 2 months of evolution of having dysphagia, asthenia, generalized weakness and melanin depositions associated with colic-like abdominal pain in non-irradiated mesogastrium / epigastrium, with occasional dyspepsia exacerbated with food intake. The Chest X rays reveals band opacity paratracheal right with absence of the left aortic button, with probable diagnostic of mediastinal mass. The thoracic contrast tomography shows an anatomical variant of the aortic arch located on the right side.</p>

Abstract #125 Hypercortisolism in a Patient with a Mediastinal Mass and Pituitary Macroadenoma: A Case Report

2018 ◽  
Vol 24 ◽  
pp. 15-16
Author(s):  
Lima Lawrence ◽  
Alexandra Mikhael ◽  
Khawla Ali ◽  
Varun Kshettry ◽  
Pablo Recinos ◽  
...  
Keyword(s):  
Case Report ◽  
Mediastinal Mass ◽  
Pituitary Macroadenoma

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

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.

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