The Great Masquerader: Acute Dissecting Thoracic Aneurysm complicated by Rapid Neck Swelling

Author(s):  
Caitlin Malone ◽  
Brendan McKenna ◽  
Peter Ball
2016 ◽  
Vol 22 ◽  
pp. 278
Author(s):  
Anne Bacal ◽  
Nour Batarseh ◽  
Erin Drever ◽  
Tahira Yasmeen

1992 ◽  
Vol 106 (2) ◽  
pp. 137-143 ◽  
Author(s):  
G. R. Ford ◽  
A. Balakrishnan ◽  
J. N. G. Evans ◽  
C. M. Bailey

AbstractWe present a retrospective study of 106 patients with branchial cleft and pouch anomalies who presented to the Hospital for Sick Children between 1948 and 1990. The relevant embryology of the branchial apparatus is summarized and a theoretical description of individual anomalies given.Second branchial cleft sinuses were the most common anomalies, and the majority were managed simply, with adequate excision and a low recurrence rate. Five cases of first branchial cleft anomalies are presented, emphasizing the delay in diagnosis, the need for complete excision to prevent recurrence, and for a parotidectomy incision to protect the facial nerve from damage. The two third branchial pouch anomalies presented with a cystic neck swelling, one with recurrent infection and discharge, and the other with stridor. In both, the diagnosis was made at operation. The single fourth branchial pouch cyst was an unexpected finding in a patient with stridor.


2007 ◽  
Vol 45 (1) ◽  
pp. 131-132 ◽  
Author(s):  
S. Ali ◽  
A. R. Sarwari
Keyword(s):  

2007 ◽  
Vol 121 (12) ◽  
Author(s):  
S Mylvaganam ◽  
C G L Hobbs

AbstractObjective:We report a case of post-partum surgical cervical emphysema, which is a rare but well recognised complication of labour. By reporting the first case in the ENT literature, we aim to raise awareness of this complication, particularly amongst trainees, to ensure that patients are managed most appropriately.Case report:A 36-year-old, primigravida woman developed neck swelling and odynophagia post-partum. Surgical cervical emphysema was palpated, with further examination excluding pneumomediastinum and pneumothorax. The patient was managed conservatively, with complete resolution of symptoms within a week.Conclusions:Surgical cervical emphysema, pneumothorax and pneumomediastinum are all well recognised post-partum complications. The vast majority of cases do not present with respiratory or cardiac compromise and can be appropriately managed conservatively, with expectation of resolution in a fortnight. There is no evidence that such patients are at increased risk during subsequent pregnancies.


2021 ◽  
Vol 8 (26) ◽  
pp. 2294-2299
Author(s):  
Raju D.R.K.L.N. ◽  
Sri Krishna Prakash S.

BACKGROUND Thyroglossal duct cyst is a developmental cyst that occurs in 7 % of the population. These cysts are most commonly seen in paediatric patients. They occur due to failure of thyroglossal duct to involute and atrophy. Majority of them are found in infrahyoid region. The purpose of this research was to summarise our three years of clinical experience in different features of thyroglossal cysts and their surgical results, with an emphasis on the naked eye extent of a patent thyroglossal duct if present. METHODS This observational study was carried out in the Department of ENT, GVP IHC & MT – Visakhapatnam district, Andhra Pradesh for a period of three years from January 2016 to 2019. In our study, twenty patients were enrolled. Patients with cysts were initially diagnosed based on medical history, clinical examination, and ultrasound sonography (USG) reports. RESULTS Patients' clinical and surgical data, including cyst size and position, presence or absence of the thyroglossal duct, and so on, were analysed. The average age was 11 years. The majority (73.5 percent) were under the age of 15. Males accounted for 75 percent of the population, while females accounted for 25 %. Midline neck swelling was found in most of the patients (95 %). Majority (84.5 %) of cysts were located in the sub-hyoid region. Erythema over swelling was seen in 14.5 % of patients. Thyroglossal ducts were found to be patent at various lengths and areas. Majority of patients (75 %) had tract that began from cyst and ended at superior border of hyoid body while two patients (10 %) had patent thyroglossal duct from the cyst to the vallecular mucosa. Majority (70 %) cysts had size between 1.6 cm and 3 cm. Intraoperatively 15 % of cyst got ruptured. Most of them were present with visible midline neck swelling. None of the cysts had malignant characteristics in our study. CONCLUSIONS In most cases, a patent duct just disappeared at the superior border of body of hyoid. Complete patent thyroglossal duct from cyst to tongue musculature was rare. None of the cysts had malignant characteristics in our study. KEYWORDS Thyroglossal Cyst, Neck Swelling, Thyroglossal Duct


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