scholarly journals Case report of a large rhinolith cast – A frequently missed diagnosis

2021 ◽  
Vol 02 ◽  
Author(s):  
Irshad Mohiuddin ◽  
Mayank Vats ◽  
Azmina Hussain
Keyword(s):  
Case Report ◽  
Treatment Failure ◽  
Nasal Obstruction ◽  
Endoscopic Examination ◽  
Middle Meatus ◽  
Left Nasal Cavity ◽  
Early Referral ◽  
Missed Diagnosis ◽  
Bony Mass ◽  
Contrast Ct

Background: Rhinoliths are calcified or mineralized concretions that are deposited around a nucleus and are usually unilateral. They are rare with an estimated incidence of 1:10000 of all ENT outpatient cases. This may be an underestimation as many cases remain asymptomatic since the process may take years to develop. Case Report: We report a case of unilateral nasal obstruction since childhood in an adult male where the diagnosis remained obscured until thorough assessment was done. According to the anterior rhinoscopic and nasoendoscopic examination, there was an irregular bony mass occupying the left nasal cavity from the floor to the middle meatus. The diagnosis of rhinolith was confirmed by nasoendoscopy and non-contrast CT (NCCT) scan, and it was removed piecemeal from the nose. Conclusion: This case underlines the importance of a detailed clinical and endoscopic examination of the nose in adult cases with unilateral nasal obstruction. It also highlights the potential for misdiagnosis of such cases at the hands of general practitioners or physicians and the importance of early referral to an otolaryngologist in case of treatment failure by established protocols.

scholarly journals Concha Bullosa Mucopyocele: a Case Report

2015 ◽  
Vol 58 (4) ◽  
pp. 147-149 ◽  
Author(s):  
Kamran Sari ◽  
Zeliha Kapusuz Gencer ◽  
Yunus Kantekin
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Middle Turbinate ◽  
Lateral Part ◽  
Mucociliary Transport ◽  
Anatomic Variations ◽  
Concha Bullosa ◽  
Left Nasal Cavity ◽  
Nasal Mass ◽  
History Of

Concha bullosa (CB) is among the most common anatomic variations of sinonasal anatomy. Although usually asymptomatic, CB can occasionally cause nasal obstruction or headache. Obstructions within the mucociliary transport system can develop into a mucocele or mucopyocele. A 48-year-old female, with a history of progressive headache and nasal obstruction, was referred to our department. Paranasal sinus tomography revealed a nasal mass in the left nasal cavity resembling a mucopyocele in the middle turbinate. Under general anesthesia, the purulent material was aspirated, and the lateral part of the left turbinate was resected. Mucopyoceles are common within the paranasal sinuses, but uncommon with CB; thus, they should be considered in patients with a large hyperemic nasal mass.

scholarly journals Analysis of the Misdiagnosis of a Case of Rectal Lymphoid Polyp: a Case Report

2020 ◽  
Author(s):  
Yong-Ting Lan ◽  
Hua Shang ◽  
Lin-Ping Wang ◽  
Na Li ◽  
Jing Zhao ◽  
...  
Keyword(s):  
Case Report ◽  
Endoscopic Submucosal Dissection ◽  
Intestinal Tract ◽  
Gene Rearrangement ◽  
Correct Diagnosis ◽  
Endoscopic Examination ◽  
Endoscopic Biopsy ◽  
Benign Lesions ◽  
Case Presentation ◽  
Missed Diagnosis

Abstract Background: Lymphoid polyps are rare benign lesions, mainly in the intestinal tract. But misdiagnosis always happen, because it is difficult to distinguish lymphoid polyp and lymphoma and laterally spreading tumour (LST) solely relying on endoscopic examination. Generally speaking, pathology can help us make a correct diagnosis, but in few cases advanced methods is necessary for diagnosis, such as immunohistochemistry and gene rearrangement. Case presentation: A 56-year-old female patient was admitted to the ward for endoscopic submucosal dissection (ESD) treatment. She was diagnosed with laterally spreading tumour (LST) in another hospital. Before ESD treatment, we performed a colonoscopy examination on the patient. The result pointed towards rectal lymphoma and did not support the diagnosis of LSTs of the rectum, so we did not perform ESD. Because of the possibility of missed diagnosis and misdiagnosis of common endoscopic biopsy, we performed endoscopic mucosal resection (EMR) biopsy. The results of postoperative pathology, immunohistochemistry and gene rearrangement supported the diagnosis of lymphoid polyps. Conclusions: The diagnosis of lymphoid polyps always depends on endoscopic examination and pathology. If necessary, advanced methods such as immunohistochemistry and gene rearrangement may be helpful.

An Obscure Colon Dilatation and its Underlying Cause: Case Report and Literature Review

2020 ◽  
pp. 1-5
Author(s):  
Anton Stift ◽  
Kerstin Wimmer ◽  
Felix Harpain ◽  
Katharina Wöran ◽  
Thomas Mang ◽  
...  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Immunohistochemical Staining ◽  
Late Onset ◽  
Hirschsprung Disease ◽  
Endoscopic Examination ◽  
Case Presentation ◽  
Idiopathic Megacolon ◽  
History Of ◽  
Cells Of Cajal

Introduction: Congenital as well as acquired diseases may be responsible for the development of a megacolon. In adult patients, Clostridium difficile associated infection as well as late-onset of Morbus Hirschsprung disease are known to cause a megacolon. In addition, malignant as well as benign colorectal strictures may lead to intestinal dilatation. In case of an idiopathic megacolon, the underlying cause remains unclear. Case Presentation: We describe the case of a 44-year-old male patient suffering from a long history of chronic constipation. He presented himself with an obscurely dilated large intestine with bowel loops up to 17 centimeters in diameter. Radiological as well as endoscopic examination gave evidence of a spastic process in the sigmoid colon. The patient was treated with a subtotal colectomy and the intraoperative findings revealed a stenotic stricture in the sigmoid colon. Since the histological examination did not find a conclusive reason for the functional stenosis, an immunohistochemical staining was advised. This showed a decrease in interstitial cells of Cajal (ICC) in the stenotic part of the sigmoid colon. Discussion: This case report describes a patient with an idiopathic megacolon, where the underlying cause remained unclear until an immunohistochemical staining of the stenotic colon showed a substantial decrease of ICCs. Various pathologies leading to a megacolon are reviewed and discussed.

scholarly journals Nasopharyngeal hirudiniasis: a hidden culprit—a case report

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Shreya Agarwal ◽  
Nimish Gupta
Keyword(s):  
Drinking Water ◽  
Case Report ◽  
Foreign Body ◽  
Male Patient ◽  
Natural Water ◽  
Water Sources ◽  
Endoscopic Examination ◽  
Rare Occurrence ◽  
Safety Measures ◽  
Case Presentation

Abstract Background Leech infestation in the nose or nasopharyngeal region is a rare occurrence. The most common known cause is drinking water from natural water sources like ponds and rivers. Its hidden location of attachment in the nasopharynx and its uncommon occurrence make it easy to miss during diagnosis. Case presentation We present a case of a 61-year-old male patient with recurrent unilateral epistaxis without any apparent cause. He was diagnosed with leech infestation in the nasopharynx on endoscopic examination. This article reports the management of nasopharyngeal leech infestation and safety measures for this animate foreign body retrieval. Conclusion A vigilant approach, thorough history, and examination are a must. Though leeches are simple to remove most of the time, certain necessary precaution should be kept in mind for better management and prevention of further complications.

Refractory eosinophilic fasciitis successfully treated with infliximab: A case report

2021 ◽  
pp. 239719832110043
Author(s):  
Paulina Śmigielska ◽  
Justyna Czarny ◽  
Jacek Kowalski ◽  
Aleksandra Wilkowska ◽  
Roman J. Nowicki
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Treatment Failure ◽  
Immunosuppressive Drugs ◽  
Unknown Etiology ◽  
High Dose ◽  
Eosinophilic Fasciitis ◽  
Line Treatment ◽  
First Line ◽  
First Line Treatment

Eosinophilic fasciitis is a rare connective tissue disease of unknown etiology. Therapeutic options include high-dose corticosteroids and other immunosuppressive drugs. We present a typical eosinophilic fasciitis case, which did not respond to first-line treatment, but improved remarkably after infliximab administration. This report demonstrates that in case of initial treatment failure, infliximab might be a relatively safe and effective way of eosinophilic fasciitis management.

scholarly journals Pituitary adenoma presenting with nasal obstruction: A case report

2021 ◽  
Vol 18 ◽  
pp. 100259
Author(s):  
Mitchell McDonough ◽  
Andre Le Roux ◽  
Christopher J. Chin
Keyword(s):  
Case Report ◽  
Pituitary Adenoma ◽  
Nasal Obstruction

Case report: Treatment failure using propanolol for treatment of focal subglottic hemangioma

2010 ◽  
Vol 74 (8) ◽  
pp. 956-958 ◽  
Author(s):  
Karina T. Canadas ◽  
Eric D. Baum ◽  
Stella Lee ◽  
Samuel T. Ostrower
Keyword(s):  
Case Report ◽  
Treatment Failure

Ceftriaxone vs Cefotaxime for Treatment of Haemophilus influenzae Meningitis

PEDIATRICS ◽  
1990 ◽  
Vol 85 (4) ◽  
pp. 622-623
Author(s):  
LINDA MADSON ◽  
CHARLES GROSE
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Haemophilus Influenzae ◽  
Treatment Failure ◽  
Type B ◽  
Treatment Regimens ◽  
Cerebrospinal Fluid Culture ◽  
Fluid Culture

To the Editor.— In a case report, Arditi et al1 d cefuroxime treatment failure in a child with Haemophilus influenzae meningitis. They substituted ceftriaxone for cefuroxime, but they did not mention that ceftniaxone treatment regimens have been associated with two problems. The first is the basis of a case report which described delayed sterilization of H influenzae type B meningitis under management with ceftriaxone.2 The infant had a positive cerebrospinal fluid culture after 3 days (six doses) of ceftriaxone.

Sign in / Sign up

Export Citation Format

Share Document