scholarly journals Retropharyngeal Abscess in Adults: Five Case Reports and Review of the Literature

2011 ◽  
Vol 11 ◽  
pp. 1623-1629 ◽  
Author(s):  
A. Harkani ◽  
R. Hassani ◽  
T. Ziad ◽  
L. Aderdour ◽  
H. Nouri ◽  
...  
Keyword(s):  
Foreign Body ◽  
Case Reports ◽  
Cervical Vertebra ◽  
Posterior Wall ◽  
Diabetes Patient ◽  
Biological Assessment ◽  
Retropharyngeal Abscess ◽  
Surgical Drainage ◽  
Presenting Symptoms ◽  
Local Trauma

Retropharyngeal abscesses are rare in adults. They occur mostly in immunocompromised patients or as a foreign body complication. We report 5 cases of retropharyngeal abscess collected in the ENT Department of CHU Mohammed VI of Marrakech, during a two-year period (December 2008 to December 2009). Local trauma by foreign body ingestion was the aetiology in four patients. The presenting symptoms, for all patients, were fever, odynophagia, torticollis, and trismus, and the clinical examination showed bulging of the posterior wall of the oropharynx. The radiography of cervical spine showed prevertebral thickening in all cases, this thickening was associated with an aspect of vertebral lysis of the fourth cervical vertebra in one case. A CT scan was performed in all our cases and showed features of retropharyngeal abscess which was associated, in one case, with spondylodiscitis. The biological assessment found one case of diabetes. The intradermal reaction to the tuberculin was clearly positive in one case. Endobuccal abscess puncture was practiced in 4 cases; only one organism was identified by culture:Staphylococcus aureustreatment was based on triple intravenous antibiotics and anti-Koch's therapy (in one case), and the surgical drainage under general anesthesia was also performed in the case of the diabetes patient which required also the correction of hyperglycemia in intensive care unit. The outcome was good in all our patients. The diagnosis of retropharyngeal abscess can be difficult and one must seek a comorbidity; a tuberculosis aetiology must be considered in countries with a high prevalence. The management of these cases is based on antibiotics and surgical drainage.

scholarly journals Ingestion and Pharyngeal Trauma Causing Secondary Retropharyngeal Abscess in Five Adult Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Sudhir B. Sharma ◽  
Paul Hong
Keyword(s):  
Emergency Medicine ◽  
Foreign Body ◽  
Clinical Features ◽  
Case Series ◽  
Adult Patients ◽  
Retropharyngeal Abscess ◽  
Emergency Medicine Physician ◽  
Medicine Physician ◽  
Local Trauma ◽  
Pertinent Information

Retropharyngeal abscess most commonly occurs in children. When present in adults the clinical features may not be typical, and associated immunosuppression or local trauma can be part of the presentation. We present a case series of five adult patients who developed foreign body ingestion trauma associated retropharyngeal abscess. The unusual pearls of each case, along with their outcomes, are discussed. Pertinent information for the emergency medicine physician regarding retropharyngeal abscess is presented as well.

scholarly journals Retropharyngeal Abscess in an adult with Pneumonia during COVID-19 Outbreak in China

2020 ◽  
Author(s):  
Tianyu Wang ◽  
Haibin Liu ◽  
Caiquan Liang ◽  
Hang Zhang ◽  
Jianchun Liao ◽  
...  
Keyword(s):  
Foreign Body ◽  
Chest Ct ◽  
Retropharyngeal Abscess ◽  
Surgical Drainage ◽  
Case Presentation ◽  
Raising Awareness ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
Chest Ct Scan

Abstract Background: Retropharyngeal abscesses are rarely reported in adults and occur mostly in patients with immunocompromise or as a foreign body complication. Admittedly, the treatment of retropharyngeal abscesses frequently involves surgical drainage to achieve the best results. However, when retropharyngeal abscesses occurred in a highly suspected patient with COVID-19, the managements and treatments should be caution in order to prevent the spread of the virus. Case presentation: On Feb. 13, a 40-year-old male with retropharyngeal abscesses turned to our department complaining dyspnea and dysphagia. In addition, his chest CT scan shows a suspected COVID-19 infection, thus making out Multiple Disciplinary Team (MDT) determine to perform percutaneous drainage and catheterization through left anterior cervical approach under the guidance of B-ultrasound. Finally, the patient recovered and was discharged from the hospital on Feb. 27 after 14 days of isolation. There was no recurrence after half a year follow-up. Conclusions: By presenting this case, we aim at raising awareness of different surgical drainage methods and summarizing our experience in the management of retropharyngeal abscesses during the outbreak of COVID-19.

scholarly journals Adult retropharyngeal abscess

2015 ◽  
Vol 23 (1) ◽  
pp. 7-11
Author(s):  
Saumendra Nath Bandopadhyay ◽  
Dwaipayan Mukherjee ◽  
Diptanshu Mukherjee ◽  
Swagatam Banerjee ◽  
Shubhra Kanti Sen
Keyword(s):  
Early Intervention ◽  
Soft Tissue ◽  
Streptococcus Pyogenes ◽  
Clinical Findings ◽  
Retropharyngeal Abscess ◽  
Surgical Drainage ◽  
Soft Tissue Shadow ◽  
X Ray ◽  
Presenting Symptoms ◽  
History Of

ABSTRACTIntroductionThe proportion of adults suffering from retropharyngeal abscess (RPA) has increased in comparison to children.Materials and methodsEight cases of adult retropharyngeal abscess were reviewed. The diagnostic criteria were radiological evidence of widening of pre-vertebral soft tissue shadow and presence of pus in the swelling.ResultsSore throat, fever, muffled speech, painful swallow and stiffness of the neck were common presenting symptoms. Lateral X-ray of the neck was diagnostic. Commonest organism isolated was Streptococcus pyogenes. Airway obstruction was the commonest complication.DiscussionMost of the patients had history of trauma prior to the development of RPA. CT scan has an important role in planning the management in addition to lateral X-ray of the neck. Transoral surgical drainage in association with antibiotics is the treatment of choice in abscesses confined to the retropharyngeal space.ConclusionTuberculosis is no longer the commonest cause of adult retropharyngeal abscess. Sore throat or dysphagia, disproportionate to clinical findings in the throat should arouse suspicion of RPA. Early intervention with antibiotics reduces the chances of the development of complications.

scholarly journals Granuloma Caused by Carbon Deposition in the Dermis

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Rintaro Shibuya ◽  
Yuichiro Endo ◽  
Akihiro Fujisawa ◽  
Miki Tanioka ◽  
Yoshiki Miyachi
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Malignant Melanoma ◽  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Foreign Body Reaction ◽  
Carbon Deposition ◽  
Case Reports ◽  
Initial Injury ◽  
Pencil Lead

Pencil core granuloma is characterized by a delayed foreign-body reaction against retained fragments of pencil lead. Previous case reports presented pencil core granuloma resembling malignant melanoma, haemangioma, or soft tissue sarcoma. We present a case of pencil core granuloma arising from the palm 25 years after the initial injury. The patient presented a bluish nodule that had been present over 25 years before. The nodule initially measured 5 mm in diameter. However, five years before presentation, it suddenly enlarged to the size of 30 mm during six months. Computed tomography (CT) of the lesion revealed a linear radiopaque structure of 8 mm long with a mass on its distal end. Surgical resection revealed a bluish muddy mass and pencil lead. Histological examination revealed degenerative tissue with calcification surrounded by massive amounts of black granular material in the middle and lower dermis.

Conservative Management in Two Penetrating Fishbone Injuries: A Case Series and Literature Review

2021 ◽  
Keyword(s):  
Foreign Body ◽  
Literature Review ◽  
Conservative Management ◽  
Case Reports ◽  
Case Series ◽  
Foreign Body Ingestion ◽  
Medical Referral

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.

Gastric-type adenocarcinoma of the cervix in patients with Peutz-Jeghers syndrome: a systematic review of the literature with proposed screening guidelines

2021 ◽  
pp. ijgc-2021-002997
Author(s):  
Sushmita B Gordhandas ◽  
Ryan Kahn ◽  
Dib Sassine ◽  
Emeline M Aviki ◽  
Becky Baltich Nelson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Overall Survival ◽  
Pap Smear ◽  
Early Stage ◽  
Case Reports ◽  
High Risk Population ◽  
Normal Cytology ◽  
Presenting Symptoms ◽  
Gastric Type ◽  
Peutz Jeghers Syndrome

ObjectivesTo perform a systematic review of gastric-type adenocarcinoma of the cervix and lobular endocervical glandular hyperplasia (a possible precursor lesion) in Peutz-Jeghers syndrome, and to analyze data from the literature, along with our institutional experience, to determine recommendations for screening and detection.MethodsA comprehensive literature searc and retrospective search of pathology records at our institutio were conducted. Articles were screened by two independent reviewers. Case reports/series on lobular endocervical glandular hyperplasia/gastric-type adenocarcinoma of the cervix in Peutz-Jeghers syndrome were included. Demographic, clinical, and radiologic information was collected.ResultsA total of 1564 publications were reviewed; 38 met the inclusion criteria. Forty-nine were included in the analysis (43 from the literature, 6 from our institution). Forty-three reported on gastric-type adenocarcinoma alone, 4 on lobular endocervical glandular hyperplasia alone, and 2 on concurrent lobular endocervical glandular hyperplasia/gastric-type adenocarcinoma. Median age at diagnosis was 17 (range, 4–52) for patients with lobular endocervical glandular hyperplasia alone and 35 (range, 15–72) for those with gastric-type adenocarcinoma. The most common presenting symptoms were abdominal/pelvic pain and vaginal bleeding/discharge. Imaging was reported for 27 patients; 24 (89%) had abnormal cervical features. Papanicolaou (Pap) smear prior to diagnosis was reported for 12 patients; 6 (50%) had normal cytology, 4 (33%) atypical glandular cells, and 2 (17%) atypical cells not otherwise specified. Patients with gastric-type adenocarcinoma (n=45) were treated with surgery alone (n=16), surgery/chemotherapy/radiation (n=11), surgery/chemotherapy (n=9), surgery/radiation (n=5), or radiation/chemotherapy (n=4). Twelve (27%) of 45 patients recurred; median progression-free survival was 10 months (range, 1–148). Twenty patients (44%) died; median overall survival was 26 months (range, 2–156). Thirteen patients (27%) were alive with no evidence of disease.ConclusionsGastric-type adenocarcinoma in Peutz-Jeghers syndrome is associated with poor outcomes and short progression-free and overall survival. Screening recommendations, including pathognomonic symptom review and physical examination, with a low threshold for imaging and biopsy, may detect precursor lesions and early-stage gastric-type adenocarcinoma, leading to better outcomes in this high-risk population.PROSPERO registration numberCRD42019118151

scholarly journals Penanganan Obstruksi Duodenum pada Anjing: Laporan Kasus (Treatment of Duodenum Obstruction in Dogs: Case reports)

2018 ◽  
Vol 19 (1) ◽  
pp. 137
Author(s):  
Erwin Erwin ◽  
Rusli Rusli ◽  
Amiruddin Amiruddin ◽  
Deni Noviana ◽  
Raden Roro Soesatyoratih ◽  
...  
Keyword(s):  
Foreign Body ◽  
Clinical Symptoms ◽  
Case Reports ◽  
Contrast Material ◽  
Large Mass ◽  
Radiographic Examination ◽  
Blood Profile ◽  
Foreign Objects ◽  
Animal Bones ◽  
Veterinary Hospital

Veterinary Hospital of Education Faculty of Veterinary Medicine, Bogor Agricultural University, received a Golden Retriever with clinical symptoms of anorexia, abdominal pain, vomiting and constipation in April 2016. Blood profile examination showed leukocytosis, erythropenia and low hemoglobin level. Radiographic examination without contrast showed a foreign body which is characterized by a large mass radiopaque in intestinal area. Forty-five minutes after the administration of radiographic contrast, contrast material was still in gastrium and only reached partial intestinal. Endoscopy examination showed there was irritation symptoms of the esophagus to gastrium. Black colored liquid was seen while the endoscope inserted into the gastric. Enterotomy was carried out to remove foreign objects. The foreign body is consisted of bones fragments and the plastic that was eaten by the patient. One week after surgery, the animals showed clinical symptoms and had a good appetite. These case can be prevented by not giving foods that contain animal bones and keeping animals in a dirty environment.

scholarly journals Foreign body of the esophagus, complicated by retropharyngeal abscess and mediastinitis

1981 ◽  
Vol 62 (5) ◽  
pp. 64-65
Author(s):  
V. V. Baityakov ◽  
V. V. Fedotov ◽  
A. I. Bocharov
Keyword(s):  
Foreign Body ◽  
Sore Throat ◽  
General Condition ◽  
Severe Pain ◽  
Soft Tissues ◽  
Fish Bone ◽  
Retropharyngeal Abscess ◽  
Anterior Surface ◽  
Interscapular Region

T., 55 years old, choked on a fish bone while eating. After 2 days, she was admitted to the ENT clinic with complaints of sore throat, hoarseness, sharp difficulty in swallowing and breathing. The general condition of the patient is severe, the neck is enlarged due to edema of soft tissues, the skin is pale, on the anterior surface of the chest there are massive subcutaneous hemorrhages. The patient retains a forced position, cannot lie on the couch on her own. Palpation of the neck and interscapular region causes severe pain. Temperature 39.3 .

scholarly journals Faringoezofaginių (Cenkerio) divertikulų chirurginis gydymas

2004 ◽  
Vol 2 (4) ◽  
pp. 0-0
Author(s):  
Romaldas Rubikas ◽  
Paulius Gradauskas ◽  
Diana Samiatina
Keyword(s):  
Case Reports ◽  
Surgical Care ◽  
Posterior Wall ◽  
Upper Esophageal Sphincter ◽  
Patient Death ◽  
Main Method ◽  
Advantages And Disadvantages ◽  
Zenker Diverticulum ◽  
Prevertebral Fascia ◽  
Esophageal Sphincter

Romaldas Rubikas, Paulius Gradauskas, Diana SamiatinaKauno medicinos universiteto Torakalinės chirurgijos klinika,Eivenių g. 2, Kaunas, LT-50009El. paštas: [email protected] Įvadas / tikslas Ryklės ir stemplės sandūros užpakalinėje sienoje virš ryklės apatinio sutraukiamojo raumens, musculus constrictor pharyngis inferior, atsiradęs gleivinės maišelis vadinamas faringoezofaginiu arba Cenkerio (vok. Zenker) divertikulu. Pagrindinė jo atsiradimo priežastis yra stemplės viršutinį rauką (angl. upper esophageal sphincter) sudarančių raumenų veiklos, maistui slenkant rykle, koordinacijos sutrikimas. Dažniausiai vartojami du šios ligos chirurginio gydymo metodai – divertikulo rezekcija ir viršutinio stemplės rauko įpjova su divertikulo fiksacija vertikalioje padėtyje. Retrospektyvaus tyrimo tikslas – ištirti ankstyvuosius pooperacinius rezultatus, įvertinti klinikoje vartotų faringoezofaginio divertikulo chirurginio gydymo metodų pranašumus ir trūkumus. Pacientai ir metodai Nuo 1990 iki 2004 metų nuo faringoezofaginio divertikulo operuoti 58 ligoniai. Divertikulo rezekcija atlikta 43, o stemplės viršutinio rauko įpjova ir divertikulo fiksacija – 15 ligonių. Duomenys surinkti iš ligos istorijų. Rezultatai Po divertikulo rezekcijos gydymo trukmė (10,6 ± 4,6 dienos) buvo statistiškai reikšmingai (p = 0,004) ilgesnė negu po stemplės viršutinio rauko įpjovos bei divertikulo fiksacijos (6,3 ± 1,6 dienos). Po divertikulo rezekcijos dviem (4,6%) ligoniams susidarė stemplės fistulė. Viena ligonė (2,3%) nuo šios komplikacijos mirė. Po stemplės viršutinio rauko įpjovos ir divertikulo fiksacijos sunkių pooperacinių komplikacijų nebuvo. Išvada Stemplės viršutinio rauko įpjova ir divertikulo fiksacija yra sudėtingesnė operacija, palyginti su rezekcija, tačiau dėl reikšmingų pranašumų laikytina pagrindiniu šios ligos chirurginio gydymo metodu. Reikšminiai žodžiai: faringoezofaginis (Cenkerio) divertikulas, rezekcija, fiksacija, stemplės viršutinis raukas, įpjova Surgical treatment of pharyngoesophageal (Zenker) diverticula Romaldas Rubikas, Paulius Gradauskas, Diana Samiatina Background / Objective Pharyngoesophageal (Zenker) diverticulum is a mucosal pouch presenting posterolateral to the hypopharynx just above the level of the cricopharyngeal muscle, i. e. in the main part of the upper esophageal sphincter. The primary pathway in the pathogenesis of Zenker diverticulum appears to be failure of coordinated relaxation of the upper esophageal sphincter at the time a food bolus reaches that position in the hypopharynx. Surgical care of this disease involves mainly two methods: resection of the diverticulum and myotomy of the cricopharyngeal with esophageal muscles combined with diverticulum suspension to the prevertebral fascia or posterior wall of the pharynx. The aim of this retrospective study was to analyse postoperative results and reveal advantages and disadvantages of both these methods. Patients and methods From 1990 to 2004, 58 patients were operated on due to Zenker diverticulum. Resection of the diverticulum, myotomy and diverticulum suspension were performed for 43 and 15 patients, respectively. Perioperative data were collected from case reports. Results Hospital stay was shorter (p = 0.004) in patients who underwent myotomy and diverticulum suspension than in those who had resection of the diverticulum (10.8 ± 4.6 days versus 6.3 ± 1.6 days). Esophageal fistula occurred in two (4.6%) cases after resection of the diverticulum. This complication caused one (2.3%) patient death. There were no severe postoperative complications following myotomy and diverticulum suspension. Conclusion Myotomy and diverticulum suspension is technically more complicated than its resection. However, myotomy and diverticulum suspension have significant clinical advantages and, therefore, should be recommended as the main method for the surgical care of Zenker diverticulum. Keywords: pharyngoesophageal (Zenker) diverticulum, resection, suspension, upper esophageal sphincter, myotomy

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