scholarly journals Spontaneous Retropharyngeal Haematoma: Case Report and Literature Overview

2019 ◽  
Vol 15 (2) ◽  
pp. 153-155
Author(s):  
Apar Pokharel ◽  
Prabhat Basnet ◽  
Naganawalachulu Jayaprakash Mayya ◽  
Damodar Kandel
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Rare Case ◽  
Surgical Intervention ◽  
Acute Onset ◽  
Difficult Case ◽  
Resonance Imaging ◽  
Literature Overview ◽  
Unusual Condition ◽  
Retropharyngeal Hematoma

Spontaneous retropharyngeal hematoma is a rare and difficult case to diagnose early. Very few cases have been reported in the literature. We report a rare case of spontaneous retropharyngeal hema-toma presenting with acute onset of neck pain, neck motion limitation and dysphagia. The diagnosis was established by Magnetic Resonance Imaging. The hematoma was drained and the patient condition improved. It is important to be aware of this unusual condition with its distinct presentation. Most cases will resolve with conservative management. Surgical intervention is needed if medical management fails.

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

Large, solitary angiokeratoma in the posterior third and base of the tongue: case report

2011 ◽  
Vol 125 (10) ◽  
pp. 1083-1086 ◽  
Author(s):  
M Dutta ◽  
S Ghatak ◽  
G Biswas ◽  
R Sinha
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Rare Case ◽  
The Body ◽  
Lingual Thyroid ◽  
Male Adolescent ◽  
Resonance Imaging ◽  
Related Literature ◽  
Base Of The Tongue

AbstractObjective:We present an extremely rare case of isolated angiokeratoma of the tongue.Method:Case report and review of related literature.Results:An 18-year-old, male adolescent presented with a fleshy, intermittently bleeding mass in the posterior third and base of the tongue. The lesion was initially suspected to be a lingual thyroid or haemangioma, but histopathological features were consistent with angiokeratoma. Magnetic resonance imaging revealed that the lesion extended up to the vallecula and involved the lamina propria and superficial tongue musculature. No similar lesions were found elsewhere in the body. No metabolic derangements were identified in the patient or his family. The 2.6 × 1.5 × 0.5 cm mass was excised under general anaesthesia.Conclusion:We present the 1st case of isolated lingual angiokeratoma in a male, the 4th such case overally, the largest ever documented. The lesion was situated in the posterior third and base of the tongue, a position not previously described.

scholarly journals Not just eosinophilic fasciitis

2021 ◽  
Vol 14 (1) ◽  
pp. 121-124
Author(s):  
Razvan Chirila ◽  
◽  
Elena Raluca Cristea ◽  
Monica Roxana Purcarea ◽  
Laura Carina Tribus ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Muscle Weakness ◽  
Rare Case ◽  
Chronic Treatment ◽  
Eosinophilic Fasciitis ◽  
Resonance Imaging ◽  
Progressive Muscle Weakness ◽  
Contrast Enhanced

This case report describes a rare case of progressive muscle weakness in a patient treated for eosinophilic fasciitis (EF) for many years before being diagnosed with a second autoimmune disease: dermatomyositis. Our case is a report of a 65-year-old male diagnosed with eosinophilic fasciitis 7 years before being evaluated in our service at Mayo Clinic in Jacksonville, Florida, due to progressive muscle weakness despite the chronic treatment with methotrexate. Contrast-enhanced magnetic resonance imaging of the lower extremity showed enhancement throughout the thigh musculature, which led us to pursue biopsies of the fascia and muscle in order to confirm the diagnosis of EF associated with myopathy. This case illustrates the need to consider the possibility of myopathy in patients diagnosed with EF whenever muscle weakness is more prominent than expected.

scholarly journals Unusual Presentation of Laryngeal Cavernous Hemangioma

2015 ◽  
Vol 5 (2) ◽  
pp. 67-69
Author(s):  
Arpit Sharma ◽  
Jyoti Dabholkar ◽  
Jaini Lodha ◽  
Nitish Virmani
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Cavernous Hemangioma ◽  
Rare Case ◽  
Acute Onset ◽  
Unusual Presentation ◽  
Rare Tumor ◽  
Resonance Imaging ◽  
Detailed Evaluation ◽  
Magnetic Resonance Imaging Mri

ABSTRACT Cavernous hemangioma is a rare tumor of the adult larynx. These hemangiomas are confined to the larynx and generally asymptomatic. We present a rare case of a huge cavernous hemangioma in a 22-year-old patient who presented with stridor and a huge swelling in the neck, of acute onset. Detailed evaluation including 70° Hopkins laryngoscopy, contrastenhanced computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a vascular malformation with both intra- and extralaryngeal components. The typical findings of hemangioma with its management are highlighted in this article. Postoperatively, patient's voice improved and the stridor was relieved. How to cite this article Lodha J, Sharma A, Dabholkar J, Virmani N. Unusual Presentation of Laryngeal Cavernous Hemangioma. Int J Phonosurg Laryngol 2015;5(2):67-69.

scholarly journals A rare case of rhino-orbito-maxillary mucormycosis having no common signs and laboratory findings but no visible morbidity

2021 ◽  
pp. 442-444
Author(s):  
Aarti Mahesh Khare ◽  
Sachin Tukaram Nemane ◽  
Prashant Shridhar Javade ◽  
Yogesh Pralhad Narkhede ◽  
Punita A. Parti
Keyword(s):  
Magnetic Resonance Imaging ◽  
Gold Standard ◽  
Rare Case ◽  
Surgical Intervention ◽  
Dental Pain ◽  
Immunocompromised Patients ◽  
Resonance Imaging ◽  
Laboratory Findings ◽  
Prompt Treatment ◽  
Magnetic Resonance Imaging Mri

Mucormycosis is an opportunistic fungal infection caused by omnipresent fungi called Mucorales of class Phycomycetes. It mainly occurs in immunocompromised patients, and only early diagnosis with medical and surgical intervention remains the gold standard in managing it. Here, we present the case of a patient contracted with mucormycosis post his COVID-19 infection involving the rhino-orbito-maxillary area. The patient presented to our hospital with dental pain a month after his discharge. Since the mucormycosis cases were at a peak in this period, our team of doctors did a thorough examination of the patient, which revealed dental and ophthalmologic abnormalities. No clinical necrotic eschar in the palatine or nasal cavity was diagnosed, but magnetic resonance imaging (MRI) revealed a typical COVID-19 mucormycosis infection. Accordingly, prompt treatment with systemic amphotericin B was started. However, as the patient declined surgical intervention, we feared the worst outcome, which to our surprise showed no adverse progression.

Radiolucent Osteoma of the Skull: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 29 (5) ◽  
pp. 776-778 ◽  
Author(s):  
Yasushi Shibata ◽  
Yoshihiko Yoshii ◽  
Atsuro Tsukada ◽  
Tadao Nose
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Case Report ◽  
Magnetic Resonance ◽  
Bone Tumors ◽  
Rare Case ◽  
Imaging Findings ◽  
Pathological Findings ◽  
Resonance Imaging ◽  
Skull Tumor

Abstract A rare case of a radiolucent osteoma of the skull is reported. The radiological and pathological findings of this lesion, including magnetic resonance imaging findings, are presented, and the efficacy of magnetic resonance imaging for the diagnosis of this skull tumor is evaluated. The differential diagnosis of radiolucent bone tumors is discussed.

scholarly journals Case Report: Tuberculous Spondylitis in Siti Rahmah Hospital During Covid-19 Pandemic

2021 ◽  
Vol 8 (04) ◽  
pp. 5338-5340
Author(s):  
Yuri Haiga
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Surgical Intervention ◽  
Resonance Imaging ◽  
X Ray ◽  
Intervention Patient ◽  
Severe Back Pain ◽  
Magnetic Resonance Imaging Mri ◽  
Anatomical Pathology

 Background: Spondylitis TB is an infection of Mycobacterium TB involving the spine. The course of spondylitis TB is relatively indolent. This study was conducted to evaluate the clinical presentation and a goal of surgery in two patients who had been operated for spondylitis tuberculosis (TB) in Siti Rahmah Hospital during Covid-19 pandemic. Case Report: Case 1, A 24-year-old woman, presented to the emergency department with a complaint of nausea, vomiting, weight loss, and severe back pain. On admission she was febrile and had leukocytosis. Initial spinal x-ray was performed and revealed osteolytic changes in the vertebral body of T10 and T11. Magnetic resonance imaging (MRI) of the spine illustrated spondylitis of T8 until T12, with paravertebral abscesses, which was suggestive spondylitis. Case 2, A 19-year-old woman, presented to policlinic with complain of paraplegi inferior and hipoestesi since 7 month ago. Magnetic resonance imaging (MRI) of the spine illustrated spondylitis of C7 until T4, with paravertebral abscesses, which was suggestive spondylitis. Both patients were operated on by an orthopedic doctor. Anatomical Pathology examination showed tuberculosis spodylitis. The patient treat surgical intervention and anti-tuberculosis drug. After surgical intervention, patient had improvement of sensoric and motoric. Conclusions: In a covid-19 pandemic situation, diagnosis and management of spondylitis TB must be carried out because it is related to the prognosis of the disease.   Keywords: Mycobacterium tuberculosis; Spondylitis, Covid-19 Pandemic

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