Giant tonsillolith: a case report and review of literature

We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. Keywords: Tonsillolith, Oral cavity

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Unusual foreign object in a tooth: A case report and review of literature

Clinics and Practice ◽

10.4081/cp.2019.1114 ◽

2019 ◽

Vol 9 (1) ◽

Author(s):

Nawaf Mohammad Ashqar ◽

Fareedi Mukram Ali

Keyword(s):

Case Report ◽

Foreign Body ◽

Oral Cavity ◽

Case History ◽

Foreign Object ◽

Review Of Literature ◽

Source Of Infection ◽

Foreign Objects ◽

Potential Source ◽

History Of

Foreign body impactions in the tooth are common findings in the oral cavity of children because of their frequent habits of placing various objects in their mouth. The present case describes an 11-year-old boy with a foreign object in the maxillary left first molar tooth of which he was unaware. Foreign objects can not only be a source of infection but also be aspirated or ingested by the child. The discovery of foreign objects in the teeth is usually accidental. A detailed case history, consisting of a history of the ordinary placement of the object and clinical and radiographic examinations is necessary to determine the nature, size, and location of the foreign body, as well as the difficulty involved in its retrieval. The foreign object may sometimes fracture inside the tooth during exploration by the parent or child. Such an object may act as a potential source of infection and lead to complications.

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Ocular Complication of a Child with Confirmed 2019 Novel Coronavirus Disease: A Case Report

Archives of Pediatric Infectious Diseases ◽

10.5812/pedinfect.109981 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Anahita Sanaei Dashti ◽

Zahra Mehdipour Namdar

Keyword(s):

Case Report ◽

Foreign Body ◽

Lower Eyelid ◽

Ocular Complication ◽

Ocular Complications ◽

Case Presentation ◽

Body Sensation ◽

The World ◽

Conjunctival Swab ◽

Novel Coronavirus

Introduction: The first cases of coronavirus disease 2019 (COVID-19) were identified in Wuhan, China, in December 2019, and then it immediately spread to other parts of the world. Conjunctivitis has been reported as one of the manifestations of the disease. In this study, we report a three-year-old child with a confirmed diagnosis of COVID-19 developing conjunctivitis in Iran. Case Presentation: The patient was a three-year-old male child who was referred to Namazee Hospital (Shiraz) due to fever, dry cough, tachypnea, and respiratory distress. He was admitted with the impression of a COVID-19 infection. On the sixth day of admission, the patient developed unilateral red-eye and foreign body sensation in the left eye. A conjunctival swab was done for collecting tears and conjunctival secretions from the lower eyelid fornix without topical anesthesia and was sent for assessing the presence of SARS-CoV-2 RNA, which was demonstrated to be positive after two days. Conclusions: Our findings suggest that the COVID-19 virus can be present in tears and conjunctiva. Additionally, it should be taken into account that ocular complications may not appear in the early stages of infection.

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Lymphangiomatous Polyp Presenting as Tonsillar Mass

Case Reports in Otolaryngology ◽

10.1155/2017/9506260 ◽

2017 ◽

Vol 2017 ◽

pp. 1-2

Author(s):

Ashish Dhakal ◽

Sameer Karmacharya ◽

Sandhya Shrestha

Keyword(s):

Foreign Body ◽

Physical Examination ◽

General Anaesthesia ◽

Postoperative Period ◽

University Hospital ◽

Tonsillar Fossa ◽

Body Sensation ◽

History Of ◽

Left Tonsil

A 19-year-old female presented to ENT OPD of Dhulikhel Hospital, Kathmandu University Hospital, with history of foreign body sensation in throat for 2 weeks and mass in left tonsil for 1 week. There is no history of difficulty swallowing or recurrent throat infection. Physical examination revealed a pedunculated mass arising from upper pole of left tonsil. Bilateral tonsillectomy was done under general anaesthesia. Grossly, 2.5 × 1.5 × 1 cm polypoidal mass, soft in consistency, was found to be attached to left tonsil. Histopathology report was consistent with lymphangiomatous polyp of tonsil. Postoperative period was uneventful and she was normal during her follow-up at 1 month with bilateral healthy tonsillar fossa.

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Recurrent keratoconjunctivitis as the sole manifestation of COVID-19 infection: A case report

European Journal of Ophthalmology ◽

10.1177/11206721211006583 ◽

2021 ◽

pp. 112067212110065

Author(s):

Satria Audi Hutama ◽

Firas Farisi Alkaff ◽

Ryan Enast Intan ◽

Citra Dewi Maharani ◽

Luki Indriaswati ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Foreign Body Sensation ◽

Polymerase Chain Reaction Test ◽

Nasopharyngeal Swab ◽

Conjunctival Hyperemia ◽

Blurred Vision ◽

Ocular Symptoms ◽

Body Sensation ◽

Fluorescence Test

Introduction: Ocular symptoms are uncommon manifestations of coronavirus disease 2019 (COVID-19) infection. Earlier study reported that dry eye, blurred vision, foreign body sensation, tearing, itching, conjunctival secretion, conjunctival congestion, ocular pain, and photophobia are among the ocular symptoms that could be found in COVID-19 patients. However, there are only a few reports available regarding corneal involvement in this disease. Here we report a case of keratoconjunctivitis as the only symptom of COVID-19 infection. Case description: A 27-year-old man who worked as an obstetrics and gynecology resident came to the outpatient clinic with the chief complaints of eye discomfort, foreign body sensation, conjunctival hyperemia, lacrimation, and photophobia in his right eye for the past 3 weeks. Fluorescence test showed a small corneal lesion. The patient was then diagnosed with keratoconjunctivitis. A week after the treatment, all symptoms were resolved. A month later, the patient came to the emergency room with the same eye complaints but with a more severe pain. The fluorescence test showed wider corneal lesion compared to last month. The result from the corneal swab is negative for bacterial or fungal infection, indicating a viral infection. Afterwards, reverse transcriptase polymerase chain reaction test from nasopharyngeal swab was performed and revealed that the patient was positive for COVID-19. Conclusions: This case report showed that keratoconjunctivitis may occur as the only manifestation of COVID-19 infection. Thus, patient presented with unexplainable eye symptoms should be evaluated for COVID-19 infection.

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Histopathological spectrum of oral cavity lesions – A tertiary care experience

Indian Journal of Pathology and Oncology ◽

10.18231/j.ijpo.2021.071 ◽

2021 ◽

Vol 8 (3) ◽

pp. 364-368

Author(s):

Ishani Gupta ◽

Rekha Rani ◽

Jyotsna Suri

Keyword(s):

Squamous Cell Carcinoma ◽

Retrospective Study ◽

Oral Cancer ◽

Oral Cavity ◽

Cell Carcinoma ◽

Squamous Cell ◽

Tertiary Care ◽

Proper Management ◽

The World ◽

One Year

Oral cancer is one of a major health problem in some parts of the world especially in the developing countries. Oral cancer is the sixth most common cancer in the world whereas in India it is one of the most prevalent cancer. Oral cavity lesions are usually asymptomatic. Accurate diagnosis of the lesion is the first step for the proper management of patients and histopathology is considered as the gold standard. The objective is to study the different patterns of oral cavity lesions seen in a tertiary care hospital of Jammu: One year retrospective study. Post graduate department of pathology.: It was a retrospective study carried out in a tertiary care centre for a period of one year from March 2020 to Feb 2021. 148 cases of oral cavity lesions were included in this study. The parameters that were included in the study were sociodemographic data, site of the lesion, clinical features and histological diagnosis. Data collected was analysed.148 cases of oral lesions were identified during the period of study. The age of patients varied from 5 to 78years and Male to Female ratio was 2.2:1. Buccal mucosa (30%) was the most common site involved which was followed by tonsil (19%). Out of 148 cases 70 cases were malignant, 10 cases pre malignant and 21 cases were benign. Squamous cell carcinoma (33.7%) was the most common lesion present in our study. Oral cavity lesions have a vast spectrum of diseases which range from tumour like lesions to benign and malignant tumours. Our study concluded that squamous cell carcinoma was the most common malignant lesion of oral cavity. Histological typing of the lesion is important for confirmation of malignancy and it is essential for the proper management of the patient.

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Paraplegia after Gastrectomy in a Patient with Cervical Disc Herniation: A Case Report and Review of Literature

Case Reports in Anesthesiology ◽

10.1155/2014/718690 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Qingfu Zhang ◽

Wei Jiang ◽

Quanhong Zhou ◽

Guangyan Wang ◽

Linlin Zhao

Keyword(s):

Spinal Cord ◽

Case Report ◽

Postoperative Complication ◽

Disc Herniation ◽

Surgical Decompression ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Review Of Literature ◽

History Of ◽

Acute Paraplegia

Paraplegia is a rare postoperative complication. We present a case of acute paraplegia after elective gastrectomy surgery because of cervical disc herniation. The 73-year-old man has the medical history of cervical spondylitis with only symptom of temporary pain in neck and shoulder. Although the patient’s neck was cautiously preserved by using the Discopo, an acute paraplegia emerged at about 10 hours after the operation. Severe compression of the spinal cord by herniation of the C4-C5 cervical disc was diagnosed and emergency surgical decompression was performed immediately. Unfortunately the patient showed limited improvement in neurologic deficits even after 11 months.

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Acute Pancreatitis Associated With Peritoneal Migration of Grass Awn in Two Dogs

Acta veterinaria ◽

10.1515/acve-2017-0048 ◽

2017 ◽

Vol 67 (4) ◽

pp. 587-592 ◽

Cited By ~ 1

Author(s):

Simonetta Citi ◽

Tommaso Mannucci ◽

Francesca Pedala’ ◽

Iacopo Vannozzi ◽

Massimo Vignoli

Keyword(s):

Acute Pancreatitis ◽

Foreign Body ◽

Clinical Signs ◽

Blood Analysis ◽

Full Resolution ◽

History Of ◽

Right Lobe ◽

One Year ◽

Grass Awn

AbstractA 12 year old male Fox Terrier (case 1) and a one year old female Poodle (case 2) were presented with a history of dysorexia and vomiting, and case 2 also with distress associated with eating. Both dogs were diagnosed with acute pancreatitis based on clinical signs, blood analysis and ultrasonography which revealed the presence of a vegetable foreign body in the proximity of the pancreatic right lobe. Laparatomy enabled the gramineae awns to be removed which led to full resolution of clinical signs. We believe that these are the first reported cases of acute pancreatitis due to grass awns.

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Subcutaneous Emphysema Secondary to Tonsillectomy

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1194 ◽

2015 ◽

Vol 7 (2) ◽

pp. 78-80

Author(s):

Vivek Sasindran ◽

Vijay Stephen ◽

Lakshana Deve

Keyword(s):

Case Report ◽

Surgical Procedures ◽

Subcutaneous Emphysema ◽

Subcutaneous Tissue ◽

Rare Complication ◽

Tension Pneumothorax ◽

Tonsillar Fossa ◽

Superior Constrictor ◽

History Of ◽

Fatal Complications

ABSTRACT Background Tonsillectomy is one of the most common surgical procedures performed worldwide. However, it can potentially be associated with several complications. One of the very rare complications post-tonsillectomy in adults is subcutaneous emphysema, as in our case here. Although, most reported cases are resolved spontaneously, it may lead to fatal complications, like tension pneumothorax. Case report Tonsillectomy was performed on an adult patient with history of frequent tonsillitis. The patient developed facial subcutaneous emphysema 48 hours after the surgery (evident by clinical and radiological examination) that resolved within 2 days without further complications. Conclusion Tonsil should be removed along with tonsilar capsule. If tonsillectomy causes deeper than usual mucosal tear up to the level of the muscles, then air might pass into the subcutaneous tissue through the tonsillar fossa and superior constrictor muscle into fascial layers of neck. Emphysema can then spread to parapharyngeal, retropharyngeal spaces and mediastinum with its related morbidity. Though a rare complication, all otorhinolaryngologists must be aware of this complication and its management. How to cite this article Abraham SS, Stephen V, Deve L, Kurien M. Subcutaneous Emphysema Secondary to Tonsillectomy. Int J Otorhinolaryngol Clin 2015;7(2):78-80.

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Gossypiboma neck: a case report with review of literature

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20213303 ◽

2021 ◽

Vol 7 (9) ◽

pp. 1569

Author(s):

Tripti Maithani ◽

Madhuri Kaintura ◽

Sharad Hernot ◽

Kanika Arora

Keyword(s):

Case Report ◽

Foreign Body ◽

Clinical Picture ◽

Review Literature ◽

Review Of Literature ◽

Left Behind ◽

Primary Surgery ◽

Surgical Expertise ◽

Surgical History ◽

Detailed Search

Gossypiboma is a dreaded event in surgical expertise. We report a case of post hemithyroidectomy gossypiboma removed 4 years post primary surgery. Initially suspecting it to be a tubercular abscess and fistula, we surprisingly found a surgical gauze on neck exploration. To understand the magnitude of this problem we assembled data on reported gossypibomas post neck surgeries. A detailed search of literature revealed 16 publications (20 cases) with varied clinical picture and differentials. Our case is only the fourth published case wherein there is such a long-standing history and the first to assemble data and review literature on exclusive neck gossypibomas. Although, neck is regarded as a confined cavity with very few obvious crevices where foreign body can be left behind iatrogenically; still, gossypiboma needs to be kept as a differential, especially with a previous surgical history.

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