scholarly journals Unexpected bony structure in tonsillar fossa during tonsillectomy

2017 ◽  
Vol 74 (4) ◽  
pp. 371-373
Author(s):  
Ljiljana Cvorovic ◽  
Milan Jovanovic ◽  
Dragoslava Djeric ◽  
Nenad Arsovic
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Anatomic Variation ◽  
Rare Condition ◽  
Styloid Process ◽  
Rare Clinical Entity ◽  
Tonsillar Fossa ◽  
Bony Structure ◽  
Elongated Styloid Process

Introduction. The elongated styloid process is a very rare clinical entity. In most cases it is asymptomatic, but also could cause Eagle?s syndrome. We presented a rare case of the anatomic variation of styloid process and its clinical implication. Case report. In the left tonsillar fossa an unexpected bony structure was found during the routine tonsillectomy on a 16-year-old female patient. Computed tomography showed the elongated styloid process. No further treatment was necessary because it was asymptomatic in the follow-up period. Conclusion. The elongated styloid process is a very rare condition, but physicians should be aware of it and keep it in mind in order to make the diagnosis in patients with suggestive symptoms.

scholarly journals Retroauricular pain caused by Eagle syndrome: A rare presentation due to compression by styloid process elongation

2017 ◽  
Vol 63 (3) ◽  
pp. 213-214 ◽  
Author(s):  
Aline Lariessy Campos Paiva ◽  
João Luiz Vitorino Araujo ◽  
Renan Maximilian Lovato ◽  
Joel Augusto Ribeiro Teixeira ◽  
Flávio Key Miura ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Neck Pain ◽  
Surgical Approach ◽  
Rare Case ◽  
Rare Condition ◽  
Styloid Process ◽  
Clinical Treatment ◽  
Rare Presentation ◽  
Main Symptom ◽  
Eagle Syndrome

Summary Eagle syndrome is a rare condition presenting with retroauricular pain (usually as main symptom) associated with dysphagia, headache, neck pain on rotation and, much rarelier, stroke. This occurs due to styloid process elongation. Sometimes, there is also styloid ligament calcification, which can cause compression of nerves and arteries and the symptoms above. Treatment can be conservative with pain modulators (e.g. pregabalin) or infiltrations (steroids or anesthetics drugs). In refractory cases, surgical approach aiming to reduce the size of the styloid process can be performed. We present a rare case of Eagle syndrome (documented by computed tomography) with good response to clinical treatment.

Eagle Syndrome: an underdiagnosed cause of orofacial pain

2021 ◽  
Vol 14 (1) ◽  
pp. e238161
Author(s):  
João Ferreira de Barros ◽  
Maria Vieira Rodrigues ◽  
Leonor Aurélio Barroso ◽  
Isabel Cruz Amado
Keyword(s):  
Orofacial Pain ◽  
Rare Condition ◽  
Styloid Process ◽  
High Clinical Suspicion ◽  
Body Sensation ◽  
Cervical Approach ◽  
Considerable Length ◽  
Eagle Syndrome

Eagle Syndrome (ES), also termed stylohyoid syndrome or styloid syndrome, is a rare condition characterised by a cluster of symptoms related to an elongation of the styloid process (SP) of the temporal bone. These may range from mild pharyngeal foreign body sensation and dysphagia to severe orofacial pain. High clinical suspicion is necessary owing to the unspecific clinical picture and limited diagnostic clues. Until a definitive diagnosis is achieved, these patients may develop symptoms which significantly impact their quality of life. The aim of this article is to report a case of ES in which a considerable length of SP was documented. Diagnosis was made years after the initial complaints and several medical workups by different specialties. Surgical resection of the elongated process by cervical approach was the adopted treatment modality. Patient recovery and follow-up was satisfactory, with remission of the afflicting symptoms.

Bowel ischemia caused by a giant thrombus in the ascending aorta. A case report

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 641-644 ◽  
Author(s):  
Hua-Dong Li ◽  
Tu-Cheng Sun
Keyword(s):  
Rare Case ◽  
Rare Condition ◽  
Ascending Aorta ◽  
Bowel Ischemia ◽  
Synthetic Graft ◽  
Aortic Thrombosis ◽  
Coagulation Therapy ◽  
Aortic Thrombus ◽  
Organized Thrombus

Although an ascending aortic thrombus is a rare condition, it can cause serious complications of thromboembolism. Here we present a rare case of a patient who was hospitalized due to ileal arteries embolization caused by emboli from a giant thrombus in the ascending aorta. After 10 days anti-coagulation therapy, we performed a surgery to replace the ascending aorta containing the strip organized thrombus with a synthetic graft. During two years of postoperative follow-up, no recurrence of aortic thrombosis was found. Although the exact cause of this thrombus remains unclear, we believe that it is important to perform a surgery as soon as the presence of an ascending aortic thrombus is confirmed, which could help preventing the major recurrent embolic events.

scholarly journals Repeated hydrocephalus in recurrent intraventricular neurocysticercosis: An uncommon presentation

2013 ◽  
Vol 04 (01) ◽  
pp. 87-89 ◽  
Author(s):  
Krishna C Joshi ◽  
Hukum Singh ◽  
Puja Sakhuja ◽  
Daljit Singh
Keyword(s):  
Lateral Ventricle ◽  
Rare Case ◽  
Rare Condition ◽  
Similar Lesion ◽  
Uncommon Presentation

ABSTRACTA rare case of a 42-years old man presented with repeated hydrocephalus due to the neurocysticercosis cyst (NCC) in the lateral ventricle. Patient was operated previously 2½ years back for a similar lesion at same site. Both times he was treated endoscopically with removal of the cyst. Interestingly there was no parenchymatous lesion at any stage of follow up. Isolated recurrent intraventricular NCC is a rare condition that has never been reported in the literature.

scholarly journals A Case of Solid Pseudopapillary Neoplasm Spontaneously Ruptured Into the Duodenum: Case Report

2019 ◽  
Vol 103 (9-10) ◽  
pp. 461-467
Author(s):  
Seiji Natsume ◽  
Yoshiki Senda ◽  
Tsuyoshi Sano ◽  
Seiji Ito ◽  
Koji Komori ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Portal Vein ◽  
Rare Case ◽  
Pancreatic Head ◽  
Resected Specimen ◽  
Solid Pseudopapillary Neoplasm ◽  
Contrast Radiography ◽  
Pancreatic Head Tumor

There have been no reports of ruptured solid pseudopapillary neoplasm (SPN) into adjacent organs. A 22-year-old female was referred to our hospital for treatment of a pancreatic head tumor. Computed tomography (CT) examination at our hospital showed a 5-cm tumor containing air, although CT at a previous hospital revealed an 8-cm tumor without air. Thus, a spontaneous rupture of the tumor into the duodenum was suspected. Subtotal stomach preserving pancreaticoduodenectomy with combined resection of the portal vein was performed. Contrast radiography of resected specimen showed the medium injected into the tumor leaking out from the 2nd portion of the duodenum. Histologically, the patient was diagnosed as SPN. Microscopic invasion to the portal vein and duodenum were also confirmed. She did not experience any postoperative complications and has remained well without any signs of recurrence during 2 years of follow-up. Although there have been 14 studies reporting ruptured SPN, this is the first report of SPN that spontaneously ruptured into the duodenum. An extremely rare case of SPN of the pancreatic head that spontaneously ruptured into the duodenum was reported.

scholarly journals Nasal Cavity Paraganglioma: Literature Review and Discussion of a Rare Case

2017 ◽  
Vol 2 (2) ◽  
pp. 1-15 ◽  
Author(s):  
Juliana Maria de Almeida Vital ◽  
Terence Pires de Farias ◽  
Fernando Luiz Dias ◽  
Juliana Fernandes de Oliveira ◽  
José Gabriel Miranda da Paixão ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Literature Review ◽  
Nasal Cavity ◽  
Rare Case ◽  
Bleeding Risk ◽  
Preoperative Embolization ◽  
Long Period ◽  
Radiologic Investigation ◽  
The Right

Paragangliomas can be found from the skull base to the sacrum. Sinonasal paragangliomas are infrequent. A 16-year-old female reported spontaneous discrete bilateral epistaxis once a month beginning when she was 3 years of age. Computed tomography showed an expansive hypervascular mass occupying the right nasal cavity and nasopharynx. Sinonasal paragangliomas usually occur in middle-aged women. Radiologic investigation is essential for the diagnosis of sinonasal paragangliomas and evaluating extension of the lesion. Endoscopic and conventional approaches are effective, and preoperative embolization is paramount for reducing bleeding risk. Histopathological features cannot differentiate benign from malignant paragangliomas, and since metastasis may eventually occur, follow-up must be carried out for a long period of time.

scholarly journals The Amyand’s Hernia: A Rare Clinical Entity Diagnosed by Computed Tomography

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Suat Keskin ◽  
Cihan Şimşek ◽  
Zeynep Keskin
Keyword(s):  
Computed Tomography ◽  
Inguinal Hernia ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Clinical Entity ◽  
Ct Scans ◽  
Amyand’S Hernia ◽  
First Person ◽  
Rare Clinical Entity ◽  
Abdominal Computed Tomography

Amyand’s hernia, named for the first person to describe an inguinal hernia containing the vermiform appendix, is an uncommon variant of an inguinal hernia. Amyand’s hernia is an extremely rare condition and is often misdiagnosed. Traditionally, these hernias have been diagnosed at surgery but are increasingly diagnosed by abdominal computed tomography (CT) scans. CT of the abdomen may help in guiding the diagnosis.

scholarly journals Abdominal Pain and Vomiting in a Patient with Over-anticoagulation -- a Rare Case of Spontaneous Intramural Hematoma of the Jejunum

2020 ◽  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Vitamin K Antagonists ◽  
Intramural Hematoma ◽  
Rare Condition ◽  
The Body ◽  
Diagnostic Process ◽  
Tomography Scan

Anticoagulants, including vitamin K antagonists, are widely used for therapeutic and prophylactic purposes. Bleeding is the most important complication of anticoagulant therapy due to over-anticoagulation. Over-anticoagulation may present in unusual ways, such as spontaneous intramural hematoma of the small bowel. The classical clinical picture consists of abdominal pain, small bowel obstruction (that can present as vomiting) and hemorrhagic symptoms that can be related to the bowel or other parts of the body. Radiological examinations are essential for the diagnosis. Ultrasound can be helpful in the diagnostic process, but computed tomography is the procedure of choice. Conservative treatment is usually successful, including procedures that stop the over-anticoagulant consequences. A surgical approach is reserved for complications such as necrosis or perforation of the bowel. The diagnosis is definitively confirmed by the spontaneous resolution of the pathological findings on a follow-up computed tomography scan. We present a case of a 72-year-old woman who was diagnosed with this rare condition affecting the jejunum in the emergency department in our hospital.

scholarly journals A Rare Case of Elongated Styloid Process Fracture

2020 ◽  
Vol 21 ◽  
Author(s):  
Kojiro Hirano ◽  
Tomoaki Mori ◽  
Takahiro Suzuki ◽  
Yasuyuki Hinohira ◽  
Hitome Kobayashi
Keyword(s):  
Rare Case ◽  
Styloid Process ◽  
Elongated Styloid Process
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