scholarly journals Endoscopic Management of a Large Tornwaldt Cyst: A Case Report

Author(s):  
Wenrol Espinosa ◽  
Michael Joseph David

ABSTRACT Objective: To report successful marsupialization of a large Tornwaldt cyst using combined transnasal and transoral endoscopic surgery in a 7-year-old girl who presented with nasal obstruction. Methods:Design: Case ReportSetting: Tertiary Government Training HospitalPatient: One Result: A 7-year-old girl presented with an 11-month history of recurrent yellowish nasal discharge gradually associated with nasal obstruction. Examination revealed a large, well encapsulated, broad-based cystic mass in the nasopharynx immediately adjacent to the posterior choanae, continuing posterior to the soft palate (pushing the uvula anteriorly) and extending inferiorly to the epiglottic area. Computerized Tomography (CT) demonstrated a well-circumscribed, midline hypodense mass with fluid attenuation obstructing the nasopharyngeal area extending inferiorly to the oropharyngeal area. Endoscopic marsupialization via transnasal and transoral approach was successful, and a respiratory epithelium-lined cyst consistent with a Tornwaldt cyst was confirmed by  histopathologic examination Conclusion: Combined transnasal and transoral endoscopic marsupialization is possible a for a large symptomatic Tornwaldt cyst in a pediatric patient with relatively smaller and complex nasal cavities.

Neurosurgery ◽  
2002 ◽  
Vol 50 (6) ◽  
pp. 1352-1355 ◽  
Author(s):  
Akihiro Oikawa ◽  
Naoto Takeda ◽  
Nobuhiko Aoki ◽  
Touichiro Takizawa ◽  
Takaaki Sakoma

Abstract OBJECTIVE AND IMPORTANCE We present a case of schwannoma attached to the tentorium. CLINICAL PRESENTATION A 41-year-old woman without evidence of neurofibromatosis presented with a 3-month history of headache, positional vertigo, and truncal ataxia. Magnetic resonance imaging revealed an extra-axial cystic mass lesion in the left anteromedial cerebellar region with a dural tail sign. INTERVENTION The tumor was removed completely by retrosigmoid craniotomy. Dense adhesion of the tumor to the inferior surface of the tentorium was confirmed during surgery. On light microscopic study, this neoplasm was composed of spindle cells and showed palisaded structures. Immunohistochemically, the tumor cells stained positive for S-100 protein and vimentin. Reticulin staining revealed a pericellular pattern of distribution of reticulin fibers. Electron microscopy confirmed the presence of a basement membrane encompassing the tumor cells. From these findings, the tumor was diagnosed as a schwannoma arising from the tentorium. CONCLUSION To our knowledge, this case report is the first to describe a schwannoma arising from the tentorium. Our case report indicates that schwannoma is a possible pathology in the differential diagnosis of dura-based tumors.


1979 ◽  
Vol 87 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Paul J. Donald

Malignant degeneration in a juvenile nasopharyngeal angiofibroma has been reported in the literature in only four patients. All of these persons had been previously treated for cure with gamma irradiation. The case report of a 47-year-old man with a 31-year history of nasal obstruction is presented. A recurrence excised 18 months after initial removal of an angiofibroma revealed the surprising diagnosis of fibrosarcoma.


2019 ◽  
Vol 8 (2) ◽  
pp. 15
Author(s):  
Saloua Ammar ◽  
Manar Hbaieb ◽  
Mohamed Zouari ◽  
Hayet Zitouni ◽  
Chiraz Regaieg ◽  
...  

Perirenal lymphatic malformation (LM) is a rare benign lesion that often simulate as perinephric collection or parapelvic cyst. A neonate, antenatally diagnosed with a renal cystic mass, was investigated to have a perirenal LM on postnatal ultrasonography and MRI. The LM was excised successfully. Histopathologic examination of the specimen confirmed the diagnosis. Perirenal LM should be evoked for a renal cystic mass diagnosed prenatally. Knowledge of this entity can prevent an unnecessary nephrectomy.


2016 ◽  
Vol 24 (1) ◽  
pp. 34-38
Author(s):  
Yasin SARIKAYA ◽  
Mehmet KARATAŞ ◽  
Sedat DOĞAN ◽  
Emin KASKALAN
Keyword(s):  

2015 ◽  
Vol 58 (4) ◽  
pp. 147-149 ◽  
Author(s):  
Kamran Sari ◽  
Zeliha Kapusuz Gencer ◽  
Yunus Kantekin

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.


Author(s):  
Fathima Seles M. ◽  
Padmakantha Srinivasan ◽  
Narmadha Ramadoss

<p class="abstract">Nasal cavity schwannomas are uncommon lesions, representing less than 4% of all head and neck schwannomas. They give rise to nonspecific symptoms such as nasal obstruction, epistaxis, and anosmia. Here we report a 18year old girl who presented with nasal discharge and recurrent epistaxis for four months.</p>


2020 ◽  
Vol 13 ◽  
pp. 117954762091969
Author(s):  
Carlos-Martín Ardila ◽  
Efraín Álvarez-Martínez

The lingual cyst lined by respiratory epithelium is a rare pathology. It probably appears from the default of undifferentiated cells of the foregut during embryonic growth. This pathology is seen more often in males and children; however, only 5 patients younger than 4 years old have been reported. The pathophysiology and the management of this cyst were described in a 4-year-old girl. She presented with a soft mass on the dorsum of the tongue covered by normal mucosa, which existed since her birth, causing difficulty in eating, breathing, and talking. The magnetic resonance described a hyperintense image with an anteroposterior diameter of 27 mm, craniocaudal of 19 mm, and transversal of 26 mm in the midline groove of the tongue; the scintigraphy showed normality. The enucleation of the lesion was performed, eradicating the capsule of the cyst and obtaining a complete cleavage. The histopathologic examination defined a cyst lined predominantly by respiratory epithelium. Unlike in other cases, in this case their cystic lining and capsular constituents were contemplated considering the current histological recommendations. It is relevant to differentiate this pathology from other cysts with similar histological findings.


2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Fariba Berenji ◽  
Mahmoud Parian ◽  
Abdolmajid Fata ◽  
Mahdi Bakhshaee ◽  
Fereshte Fattahi

Introduction.Lophomonas blattarumis a rare cause of bronchopulmonary and sinus infection. This paper presents a rare case ofLophomonassinusitis.Case Presentation. The patient was a 31-year-old woman who was admitted because of a history of upper respiratory infection and sinusitis. Direct microscopic examination of the sputum and nasal discharge showed large numbers of livingLophomonas blattarumwith irregular movement of flagella. The patient was successfully treated byMetronidazole750 mg t.i.d. for 30 days.Conclusions. This is the first case report ofLophomonas blattarumsinusitis from Iran.


2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Holly Mulinder ◽  
Allison Ammann ◽  
Yana Puckett ◽  
Sharmila Dissanaike

This is a case report of foreign body ingestion in a 55-year-old intellectually disabled man with a history of pica and previous removal of ten plastic gloves from his rectum four months prior to this presentation. The patient presented after ingesting plastic gloves which formed large, rigid esophageal and gastric bezoars that were not amenable to endoscopic removal. An exploratory laparotomy and gastrostomy was performed, and a 10 × 4.5 × 2 cm gastric bezoar consisting of rigid plastic gloves was removed without complication. Special considerations must be taken when considering the ingestion of nonfood items in the intellectually disabled population as these cases may not present classically with symptoms of a gastric bezoar.


2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Sulafa Ahmad ◽  
Hamid Suleiman ◽  
Zuheir Al-Shehabi

ABSTRACT Lupoid cutaneous leishmaniasis (LCL) is a rare, atypical presentation of cutaneous leishmaniasis (CL). In this report, the authors present the case of a severe LCL in an elderly patient who presented to our dermatology department with severe, painful ulcerated lesion on his midface with cosmetic deformity to his nose. He had a history of CL 3 years ago at the same place. Histopathologic examination showed epidermal and dermal changes with chronic inflammatory infiltrate and no leishmaniasis bodies were detected. He was admitted and treated with systemic glucantime (60 mg/kg) for a month followed by hydroxychloroquine (200 mg twice a day) for another month with favorable outcome. Countries with endemic CL should consider LCL in patients with a history of leishmaniasis and a similar clinical presentation, especially that it could be misdiagnosed with other granulomatous cutaneous conditions, thus leading to cosmetic deformities that can be avoided with early adequate treatment.


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