scholarly journals Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Alexandra Pulst-Korenberg ◽  
Stephen C. Morris
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Complication ◽  
High Morbidity ◽  
Oral Contrast ◽  
Descending Necrotizing Mediastinitis ◽  
Pleural Effusions ◽  
Aryepiglottic Fold ◽  
Pharyngeal Perforation ◽  
Complications And Mortality

Descending necrotizing mediastinitis and pharyngeal perforation are uncommon complications of pharyngitis that are associated with high morbidity and mortality. This case report describes a previously healthy 18-year-old male who presented to the emergency room with 5 days of severe sore throat, intermittent fevers, and vomiting and was found to have extensive posterior pharyngeal and mediastinal air along with extravasation of contrast on computed tomography, consistent with perforation of the left aryepiglottic fold as well as descending necrotizing mediastinitis. The patient had a complicated hospital course including multiple operative interventions, abscess formation, and development of pericardial and pleural effusions. Successful treatment required swift resuscitation including broad-spectrum antibiotics and significant coordination of emergent operative intervention between otolaryngology and cardiothoracic surgery. It is important to recognize descending necrotizing mediastinitis as a clinical entity that may result from oropharyngeal infections as early intervention significantly decreases subsequent complications and mortality. Furthermore, pharyngeal perforation is an extremely rare complication which requires either CT with oral contrast or esophagram for diagnosis.

scholarly journals Small bowel obstruction due to retroperitoneal hernia following renal transplant: a case report

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Atta Nawabi ◽  
Adam C Kahle ◽  
Clay D King ◽  
Perwaiz Nawabi
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Common Type ◽  
Postoperative Phase ◽  
Oral Contrast ◽  
Large Defect ◽  
Retroperitoneal Dissection ◽  
Unclear Etiology

Abstract Para duodenal hernias, the most common type of retroperitoneal hernias, are thought to occur naturally from abnormal gut rotation because of fusion folds within the peritoneum. Retroperitoneal hernias are a rare postoperative complication and have not been described after renal transplantation via a retroperitoneal approach. This case report presents a 48-year-old male with intestinal obstruction after renal transplant due to herniation into the retroperitoneum via an incidentally created peritoneal defect. We suggest computed tomography with oral contrast be used in the early postoperative phase to assess for obstruction in patients with prolonged ileus of unclear etiology who have undergone retroperitoneal dissection. Small peritoneal defects should be closed during dissection. Larger, or multiple peritoneal defects should be extended to make a single, large defect to decrease the possibility of bowel herniating and becoming incarcerated.

scholarly journals Pancreaticopleural fistula: An insidious cause of pleural effusion –case report

2021 ◽  
Author(s):  
Fábio Murteira ◽  
Tiago Costa ◽  
Sara Barbosa Pinto ◽  
Elsa Francisco ◽  
Ana Catarina Gomes
Keyword(s):  
Computed Tomography ◽  
Acute Pancreatitis ◽  
Case Report ◽  
Pleural Effusion ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Pancreatic Amylase ◽  
Pleural Effusions ◽  
Primary Event ◽  
Endoscopic Retrograde ◽  
Left Chest

Pancreaticopleural fistulas (PPF) are a rare etiology of pleural effusions. We describe a case of a 61-year-old man, with left chest pain with six months of progression who presented with a large volume unilateral pleural effusion. A thoracentesis was performed, which showed a dark reddish fluid(exudate) and high content of pancreatic amylase. After that an abdominal computed tomography (CT)and magnetic resonance cholangiopancreatography (MRCP) was done, revealing fistulous pathways that originated in the pancreas. The patient was admitted for conservative and endoscopic treatment by Endoscopic Retrograde Cholangiopancreatography (ERCP) and a prosthesis was placed on a fistulous path. He was discharged without complications, with the resolution of the pleural effusion and fistula.The interest of this case lies in the rarity of the event and absence of symptoms of the probable primary event (acute pancreatitis). The possible iatrogenic association with several drugs of his usual medication makes it even more complex.

Grisel's syndrome: a rare complication of tonsillectomy

2012 ◽  
Vol 126 (5) ◽  
pp. 529-531 ◽  
Author(s):  
K J Sia ◽  
I P Tang ◽  
C K L Kong ◽  
A Nasriah
Keyword(s):  
Computed Tomography ◽  
Treatment Outcome ◽  
Case Report ◽  
Rare Complication ◽  
Radiological Findings ◽  
The Third ◽  
Grisel’S Syndrome ◽  
Computed Tomography Scans ◽  
Cervical Traction

AbstractObjectives:To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning.Case report:We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with no neurological deficit. Rotatory atlanto-axial subluxation was clearly shown in computed tomography scans of the neck. Cervical traction for one week successfully reduced the subluxation, with no long-term sequelae.Conclusion:Pre-existing cervical ligamentous laxity and post-operative infection are believed to be the main causes of Grisel's syndrome. Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. Initial conservative measures are advised before more invasive cervical traction is adopted.

scholarly journals A case report of pyomyoma: radiological diagnosis of a potentially fatal complication of uterine leiomyoma.

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Mubarak MY ◽  
Noordini MD
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Uterine Rupture ◽  
Uterine Leiomyoma ◽  
Rare Complication ◽  
Radiological Diagnosis ◽  
Fatal Complication ◽  
Adjacent Structures ◽  
The Subject

Pyomyoma (suppurative leiomyoma) is a rare complication of uterine leiomyoma. It results from infarction and infection of a leiomyoma. It may lead to diagnostic and therapeutic difficulties with potential complications such as bacteraemia, uterine rupture, compressive effect to adjacent structures and even death. We report a case of pyomyoma based on the Ultrasound (US) and Computed Tomography (CT) findings and literature review on the subject.

scholarly journals Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

2006 ◽  
Vol 124 (4) ◽  
pp. 234-236 ◽  
Author(s):  
Ruy Jorge Cruz Junior ◽  
Jorge Nahas ◽  
Luiz Francisco Poli de Figueiredo
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Abdominal Wall ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Computed Tomography Scan ◽  
The Past ◽  
The Right ◽  
High Degree ◽  
Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

scholarly journals Cryptococcosis as a complication of therapy for sarcoidosis: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110542
Author(s):  
Jiejun Shi ◽  
Lei Zhou ◽  
Ada Hai Yan Ma ◽  
Naibin Yang ◽  
Lei Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Targeted Therapy ◽  
Unusual Case ◽  
Rare Complication ◽  
Pulmonary Cryptococcosis ◽  
Chest Computed Tomography ◽  
Pulmonary Lesions ◽  
Low Prevalence

Cryptococcosis is a rare complication of sarcoidosis, especially when it grows in lungs. It may escape from being diagnosed because of low prevalence and non-specific radiological presentation. Hereby, we reported an unusual case of pulmonary cryptococcosis secondary to the long-term use of glucocorticoids to treat sarcoidosis which can be misdiagnosed as progression of sarcoidosis due to the similar radiological presentation. After targeted therapy with fluconazole for 5 months, her chest computed tomography rescan revealed resolution of the pulmonary lesions.

scholarly journals Case report: Postpartum pneumomediastinum and subcutaneous emphysema

2018 ◽  
Vol 12 (3) ◽  
pp. 143-145
Author(s):  
AD Jakes ◽  
K Kunde ◽  
A Banerjee
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subcutaneous Emphysema ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Supplemental Oxygen ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Nasal Flow ◽  
Repeat Imaging

Postpartum pneumomediastinum is a rare complication of labour and delivery, where air leaks into the mediastinum following rupture of marginal alveoli. It follows prolonged and forceful Valsalva manoeuvres that increase intra-thoracic pressure. Subcutaneous emphysema may also develop. A chest radiograph can confirm the diagnosis, however a computed tomography thorax maybe required. Treatment is conservative as it is usually self-limiting. We present a case of postpartum pneumomediastinum following a delay in the second stage of labour and subsequent instrumental delivery. She developed chest pain and dyspnea 40 min post-delivery, and subcutaneous emphysema was palpable. Supplementary nasal flow oxygen was administered for 24 h prior to discharge. There is sparse evidence or guidance as to the management of postpartum pneumomediastinum, but consensus appears to be supplemental oxygen for 24 h. More data are needed on the type and duration of oxygen therapy, need for repeat imaging and management of subsequent pregnancies.

scholarly journals An unusual endodontic complication following crown lengthening surgery: A Case Report.

2021 ◽  
Vol 10 (2) ◽  
pp. 1-6
Author(s):  
Tong Wah Lim ◽  
◽  
Teng Kai Ong ◽  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Root Resorption ◽  
Rare Complication ◽  
Cone Beam ◽  
Present Case Report ◽  
Dentine Hypersensitivity ◽  
Crown Lengthening ◽  
Gummy Smile

A gummy smile is a form of excessive gingival display when smiling. The excessive gingival display due to altered eruption is likely to benefit from crown lengthening surgery in order to restore the esthetic smile. Case Report: The potential complications of the crown lengthening surgery include possible esthetic deformities, dentine hypersensitivity, transient mobility, and root resorption. The present case report reveals a rare complication happened after an esthetic crown lengthening surgery which was performed to correct the gummy smile of a 37-year-old female. The patient experienced dull throbbing pain and mild tender to percussion on tooth 11, 3 weeks after the surgery, and the symptoms did not improve after the composite restorations were placed at the cervical regions. Instead, the tooth was tender to percussion and palpation with a sign of coronal discoloration. Pulp necrosis was confirmed with the clinical tests. A cone-beam computed tomography was taken after the root canal treatment, and apical fenestration on tooth 11 was noted. Therefore, this case report shows the possible correlation between crown lengthening surgery on a tooth with apical fenestration and pulp necrosis, if the apical vasculature is severed accidentally during the procedure. Conclusion: A cone-beam computed tomography should be considered prior to the surgery and extra precaution during the surgery may reduce the risk of severing the apical vasculature if apical fenestration is evidenced.

Yellow Nail Syndrome Presenting With a Pericardial Effusion: A Case Report and Review of the Literature

2017 ◽  
Vol 22 (2) ◽  
pp. 190-193 ◽  
Author(s):  
Laura C. Soong ◽  
Richard M. Haber
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Respiratory Tract ◽  
Clinical Findings ◽  
Review Of The Literature ◽  
Pleural Effusions ◽  
Yellow Nail Syndrome ◽  
Tract Involvement

Yellow nail syndrome (YNS) is a constellation of clinical findings including at least 2 of the 3 features of thickened yellow nails, respiratory tract involvement, and lymphedema. We report the case of a middle-aged man presenting with dystrophic, thickened yellow nails; an idiopathic pericardial effusion in the absence of pleural effusion(s); and unilateral apical bronchiectasis found on computed tomography of the chest. This represents a unique presentation of YNS as the first report of a patient with YNS and a pericardial effusion in the absence of pleural effusions and lymphedema and is the 11th case report of YNS with pericardial effusion.

scholarly journals Bullet embolism of pulmonary artery: a case report

2014 ◽  
Vol 47 (2) ◽  
pp. 128-130 ◽  
Author(s):  
Mauricio Gustavo Ieiri Yamanari ◽  
Maria Clara Dias Mansur ◽  
Fernando Uliana Kay ◽  
Paulo Rogerio Barboza Silverio ◽  
Shri Krishna Jayanthi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pulmonary Artery ◽  
Rare Complication ◽  
Left Pulmonary Artery ◽  
Iliac Vein ◽  
Whole Body ◽  
Digital Angiography ◽  
Therapeutic Procedure ◽  
External Iliac Vein

The authors report the case of a patient victim of gunshots, with a very rare complication: venous bullet embolism from the left external iliac vein to the lingular segment of the left pulmonary artery. Diagnosis is made with whole-body radiography or computed tomography. Digital angiography is reserved for supplementary diagnosis or to be used as a therapeutic procedure.

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