scholarly journals Combined Use of a Gum Elastic Bougie and Video Laryngoscopy for Intubating a Patient With an Unexpected Laryngeal Papilloma

2020 ◽  
Vol 67 (4) ◽  
pp. 230-232
Author(s):  
Nanako Ikeda ◽  
Tomoka Matsumura ◽  
Haruna Kono ◽  
Yukiko Baba ◽  
Miho Hanaoka ◽  
...  
Keyword(s):  
Case Report ◽  
Endotracheal Tube ◽  
Large Mass ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Odontogenic Cysts ◽  
Mask Ventilation ◽  
Laryngeal Papilloma ◽  
Combined Use ◽  
The Right

This is a case report of a 75-year-old man scheduled for apical resection and cystectomy of odontogenic cysts involving both maxillary central incisors who presented with a previously unknown laryngeal mass that was discovered prior to intubation. Following induction and easy mask ventilation, direct laryngoscopy revealed a large mass on the right side of the glottis that impeded passage of a standard oral endotracheal tube. Successful atraumatic intubation was performed with the combination of a video laryngoscope (King Vision, Ambu Inc, Ballerup, Denmark) and a gum elastic bougie (GEB). Although a GEB may not be used routinely for tracheal intubation, it facilitated smooth advancement of the endotracheal tube without damaging the laryngeal mass when used in combination with video laryngoscopy.

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

scholarly journals Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report

2021 ◽  
pp. 790-794
Author(s):  
Jerry Shen ◽  
Angela Ryck ◽  
Iris Chan ◽  
Kaitlin S. McFadden ◽  
Anna D. Hohler
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Neck Pain ◽  
Female Patient ◽  
Arm Movement ◽  
Carotid Bifurcation ◽  
Large Mass ◽  
Unknown Etiology ◽  
Patient Reported ◽  
The Right

In 2018, a 59-year-old female patient presented with hoarseness in her voice, headache, intermittent pain in her right side, difficulty of right arm movement, left side neck pain, difficulty controlling hypertension of unknown etiology, and a large mass on the upper left side of her neck with a smaller mass on the right side. MRI of the neck revealed masses at each carotid bifurcation. These were determined to be bilateral paragangliomas. Paragangliomas are rare tumors, and bilateral ones tremendously so. The patient underwent radiation over 2 years, resulting in the successful shrinking and stabilization of both masses. Since completing radiation, the patient reported improvement in her memory, and her blood pressure has stabilized with medication.

Use of Polarized Sunglasses During Video Laryngoscopy: A Cause of Difficult Prehospital Intubation

2019 ◽  
Vol 34 (1) ◽  
pp. 104-107
Author(s):  
Adam James Smith ◽  
Ken Jackimczyk ◽  
Bruce Horwood ◽  
Daniel Christenson
Keyword(s):  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Liquid Crystal Display ◽  
Safety Issue ◽  
Polarized Light ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Intubation Attempt ◽  
Publication Type

AbstractBackgroundIn the prehospital setting, many providers advocate for video laryngoscopy as the initial method of intubation to improve the likelihood of a successful first attempt. However, bright ambient light can worsen visualization of the video laryngoscope liquid crystal display (LCD).Case ReportA patient involved in a motor vehicle accident was evaluated by an Emergency Medical Services (EMS) crew. Initial endotracheal intubation attempt using video laryngoscopy was aborted after the patient desaturated. The primary reason for the failure was poor visualization of the video laryngoscope LCD, despite attempts to block direct sunlight. Debriefing revealed that the intubating provider was wearing polarized sunglasses.DiscussionBecause LCDs emit polarized light, use of polarized sunglasses may cause the display to appear dark. Thus, the purpose of this Case Report is to raise awareness of a potential safety issue that is likely under-recognized by prehospital providers but can be easily avoided.SmithAJ, JackimczykK, HorwoodB, ChristensonD. Use of polarized sunglasses during video laryngoscopy: a cause of difficult prehospital intubation.Prehosp Disaster Med. 2019;34(1):104–107.

LIPOBLASTOMA OF THE HAND TREATED WITH EXCISION AND LIGAMENT RECONSTRUCTION: A CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 103-106 ◽  
Author(s):  
Emmanuel P. Estrella ◽  
Ellen Y. Lee
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Ligament Reconstruction ◽  
Soft Tissue Mass ◽  
Large Mass ◽  
Tendon Graft ◽  
Benign Tumour ◽  
Tissue Mass ◽  
Rare Benign Tumour ◽  
The Right

Lipoblastoma of the hand is a rare benign tumour of infancy. Although benign, the tumour can present as a large mass. We present a case of a two-year-old female with a large, slowly growing soft tissue mass between the second and third metacarpal of the right hand. After excision of the mass, the deep transverse metacarpal ligament (DTML) was reconstructed using a free tendon graft from the extensor indicis propius (EIP).

scholarly journals Clinical and Histopathological Study of Dentigerous Cyst Associated to Maxilar Lateral Tooth: Case Report

2017 ◽  
Vol 19 (1) ◽  
pp. 33
Author(s):  
Lida Velazque Rojas DDS, MSc ◽  
Carlos Alonso Claudio DDS, MSc, PhD ◽  
Gina Velazque Rojas MD
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Clinical History ◽  
Histopathological Study ◽  
Odontogenic Cysts ◽  
Rare Entity ◽  
Dental Crowns ◽  
Appropriate Treatment ◽  
The Right

The dentigerous cyst is one of the most common Odontogenic cysts involving the jaws, usually associated with the crown of a third molar or unerupted canine being in most unilateral lesions. The impaction of the incisor lateral maxillary permanent associated with dentigerous cyst is a rare entity and even more if it involves continuous dental crowns. Generally, affect between the second and third decade of life, its appearance in the first decade is still rare, representing only 9.1% of cases between 6 and 7 years. The purpose of this article is to describe the presence of impacted teeth associated with a large dentigerous cyst in the right jaw of an eight-year-old child with clinical and histopathological approach. Thorough evaluation of clinical history based on clinical, radiographic, and histopathological findings helps specialists to correctly diagnose and identify the etiological factors that lead to appropriate treatment.

A Case Report of Autopsy: Large Mass of Pulmonary Metastatic Calcification in a Patient with End-Stage Renal Disease

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S24-S24
Author(s):  
V D Mahalingam ◽  
P Zhang
Keyword(s):  
Case Report ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Large Mass ◽  
Heart Weight ◽  
Kidney Weight ◽  
Metastatic Calcification ◽  
The Right ◽  
Stage Renal Disease ◽  
End Stage

Abstract Introduction/Objective Metastatic calcifications are reported in patients with end-stage renal disease (ESRD) in radiology literature but there are no pathologic reports regarding this clinical scenario in autopsy. Methods/Case Report We report the case of a 27-year-old African American man with nephrotoxic injury secondary to gentamicin treatment at a young age leading to ESRD requiring dialysis who then later developed congestive heart disease and arrhythmia. Prior to the patient’s last hospitalization, he had normal breath sounds with no signs of respiratory distress, rales, or wheezing. Imaging of the chest showed a patchy density in the right lung and a large parenchymal calcification. During autopsy, the patient was found to have bilateral markedly small and atrophic kidneys (left kidney weight: 27.5 g, size: 5.7 x 4.4 x 3.0 cm and right kidney weight: 30.6 g, size: 5.9 x 4.4 x 3.1 cm). Microscopically, the kidneys showed diffuse global glomerulosclerosis, atrophy of cortex, severe interstitial fibrosis, and tubular atrophy with thickened arteries as well as many foci of calcifications. A large mass measuring 3.5 x 2.4 x 1.9 cm was identified in the right middle lobe of the lung. Sections of the mass revealed large calcifications which were confirmed microscopically. In addition, concentric heart hypertrophy was identified with heart weight of 925 g and left ventricle measuring up to 2.2 cm. Calcifications (ranging from 0.2 – 0.5 mm) were also identified on the left atrial wall as well as a 1.2 x 0.8 x 0.6 cm mitral valve nodule along with additional microcalcifications within the myocardium. Results (if a Case Study enter NA) NA Conclusion In conclusion, our autopsy case supports previous radiologic reports that metastatic calcification can be dramatically present in the lung in patients with ESRD.

scholarly journals Small Cell Carcinoma of the Ovary Hypercalcemic Type: A Case Report and Review of Literature

2018 ◽  
Vol 1 (1) ◽  
pp. 125-128
Author(s):  
Guermazi F ◽  
Meddeb K ◽  
Mokrani A ◽  
Charfi L ◽  
Abouda HS ◽  
...  
Keyword(s):  
Case Report ◽  
Cell Carcinoma ◽  
Small Cell Carcinoma ◽  
Young Women ◽  
Large Mass ◽  
Small Cell ◽  
Review Of Literature ◽  
Total Hysterectomy ◽  
The Right ◽  
Carcinoma Of The Ovary

Small cell carcinoma of the ovary hypercalcemic type (SCCOHT) is an exceedingly rare aggressive malignancy. It typically affects young women. Herein we aimed to report a case of a 28-year-old woman treated for SCCOHT in Salah Azaiez Institute. The tumor was revealed by a delay of menses. The imaging found a large mass of the right ovary. The patient underwent a bilateral salpingo-oophorectomy, a total hysterectomy and a pelvic and a para-aortic lymphadenectomy. She subsequently received 6 cycles of adjuvant chemotherapy. Three years later, she presented a metastatic bone relapse.

scholarly journals Clinical and Histopathological Study of Dentigerous Cyst Associated to Maxilar Lateral Tooth: Case Report

2017 ◽  
Vol 19 (1) ◽  
pp. 33
Author(s):  
Lida Velazque Rojas DDS, MSc ◽  
Carlos Alonso Claudio DDS, MSc, PhD ◽  
Gina Velazque Rojas MD
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Clinical History ◽  
Histopathological Study ◽  
Odontogenic Cysts ◽  
Rare Entity ◽  
Dental Crowns ◽  
Appropriate Treatment ◽  
The Right

The dentigerous cyst is one of the most common Odontogenic cysts involving the jaws, usually associated with the crown of a third molar or unerupted canine being in most unilateral lesions. The impaction of the incisor lateral maxillary permanent associated with dentigerous cyst is a rare entity and even more if it involves continuous dental crowns. Generally, affect between the second and third decade of life, its appearance in the first decade is still rare, representing only 9.1% of cases between 6 and 7 years. The purpose of this article is to describe the presence of impacted teeth associated with a large dentigerous cyst in the right jaw of an eight-year-old child with clinical and histopathological approach. Thorough evaluation of clinical history based on clinical, radiographic, and histopathological findings helps specialists to correctly diagnose and identify the etiological factors that lead to appropriate treatment.

Glandular Odontogenic Cyst – a Case Report

Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Manouchehri Shaadi ◽  
Amini Ali
Keyword(s):  
Case Report ◽  
Odontogenic Cyst ◽  
Treatment Modalities ◽  
Occurrence Rate ◽  
Odontogenic Cysts ◽  
Glandular Odontogenic Cyst ◽  
Wide Range ◽  
Odontogenic Origin ◽  
The Right ◽  
Anterior Mandible

Abstract: A Glandular Odontogenic Cyst (GOC) is a rare developmental cyst of odontogenic origin. Occurrence rate is low, with less than 150 cases reported in the literature thus far. 1 GOCs can be misdiagnosed due to clinicopathological similarities to other odontogenic cysts, including those of a benign and malignant nature. A wide range of ages can be affected, with a mean age of 45.7. 2 The most commonly affected site appears to be the anterior mandible. An unusual presentation of a GOC affecting the right posterior mandible of a 42-year-old male is reported. CPD/Clinical Relevance: This article highlights the importance of appropriate special investigations for a glandular odontogenic keratocyst and treatment modalities.

Critical airway induced by formalin injection: case report

2013 ◽  
Vol 128 (1) ◽  
pp. 107-109 ◽  
Author(s):  
C-F Yeh ◽  
T-L Lee
Keyword(s):  
Aqueous Solution ◽  
Case Report ◽  
Infection Control ◽  
Endotracheal Tube ◽  
World Literature ◽  
Attempted Suicide ◽  
Formalin Injection ◽  
Airway Compromise ◽  
The Status ◽  
The Right

AbstractBackground:Formalin is a saturated aqueous solution comprising 37–40 per cent formaldehyde. It is often used in histopathology laboratories as a tissue preservative. The ingestion or injection of formalin has an immediate, powerful and destructive impact on humans. This paper reports a case of formalin injection and reviews the relevant world literature.Case report:A 36-year-old male attempted suicide by injecting formalin into the right side of his neck, resulting in a critical airway situation. An endotracheal tube was inserted and a tracheostomy was then performed to secure his airway. After receiving medical treatment, including antibiotics and N-acetyl cysteine, the status of the patient's airway improved.Conclusion:When examining patients who have injected substances into their neck, the possibility of deep neck inflammation with airway compromise should be considered. Immediate management, which should include establishment of a definitive airway and prophylactic infection control, is crucial.

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