scholarly journals Conservative management of post-traumatic sialocele of the parotid gland: A case report

2019 ◽  
pp. 09-14
Author(s):  
Ahmed A El-Degwi ◽  
Mohamed Ashraf Elkahwagi

Introduction: posttraumatic cystic swelling in the parotid region has a complex diagnosis and requires careful management. Posttraumatic siaolcele has two main line of management: one that preserves the gland function and other that depresses the gland function. Methods: a case report of a posttraumatic sialocele managed by conservative measure including sterile aspiration and bandage. Ultrasonography, Computed Tomography and sialography were the main investigations that aided the diagnosis. The case was followed up for 6 months Results: aspiration of the fluid contents revealed complete evactuation of the cyst. Complete resolution was achieved by 3 weeks after aspiration. Conclusion: posttraumatic parotid sialocele is uncommon cause of parotid swelling. Careful mangemnt is mandatory and gland function preservation is the optimum line of management. Keywords: Posttraumatic; Sialocele; Parotid

2013 ◽  
Vol 92 (9) ◽  
pp. 442-448 ◽  
Author(s):  
Sang Kwon Lee ◽  
Young Eun Bahn ◽  
Dong Eun Kim

A 26-year-old woman presented with recurrent Kikuchi disease 7 years after her initial episode. Computed tomography (CT) and ultrasonography demonstrated enlarged lymph nodes with extensive necrosis at the same site as the initial episode. Cytologic and histologic examinations were not conclusive. CT performed 1 month later demonstrated a complete resolution of the lymphadenopathy, which confirmed the diagnosis of recurrent Kikuchi disease. Care must be taken to avoid misdiagnosis of recurrent Kikuchi disease as tuberculous lymphadenitis.


1998 ◽  
Vol 107 (4) ◽  
pp. 356-358 ◽  
Author(s):  
Ólafur Gudlaugsson ◽  
Árni Jón Geirsson ◽  
Kolbrún Benediktsdóttir

Pneumoparotitis is a rare cause of parotid gland swelling. We report a case of self-induced pneumoparotitis that resulted in subcutaneous emphysema and pneumomediastinum after an open biopsy of the parotid gland. We suggest a new method for diagnosing this condition. This is done by insufflation of the cheeks with contrast in the oral cavity. A reflux of air and contrast is subsequently demonstrated by a computed tomography scan of the area.


2014 ◽  
Vol 14 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Tejinder Kataria ◽  
Shyam S Bisht ◽  
Deepak Gupta ◽  
Ashu Abhishek ◽  
Govardhan Hb ◽  
...  

AbstractMetastases to the parotid region are relatively infrequent and originate primarily from head and neck cancer. Metastases of an infraclavicular origin are uncommon. Moreover, metastasis from the carcinoma of urinary bladder (CUB) to any part of the head and neck, including parotid gland, is rare. Surgery and chemotherapy are usually offered. We report a case of solitary parotid metastasis from CUB, who was successfully treated with stereotactic body radiotherapy (SBRT) using CyberKnife. SBRT is a safe alternative in cases unwilling/unfit for surgery.


2021 ◽  
pp. 146-147
Author(s):  
Vizarat Ali Syed ◽  
Nikhil Purohit ◽  
Nitin Jaggi ◽  
Ashish Singh ◽  
Geetu Jadon

The collection of the saliva in the soft tissue plane is termed as sialocele. When this communicates with the skin and drains it is known as parotid fistula. Sialocele occurs due to injury to the parotid gland parenchyma or duct, this result in accumulation of saliva in periglandular and glandular tissues or in subcutaneous cavity. In this article we report a case of Parotid sialocele formation following inadvertant incison given for space infection in parotid region. We followed conservative treatment and got excellent result.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. W. Savage ◽  
V. Vucicevic Boras

An interesting case of Kimura's disease was described in the 42-year-old patient manifesting itself as a unilateral parotid swelling, albeit the disease usually affects both parotid glands. Furthermore, first pathohistological finding was not suggestive of the disease, revealing only fatty tissue, but on the repeated biopsy together with CT the correct diagnosis was established. It should be emphasized that Kimura's disease has to be taken into account while making differential diagnosis in parotid gland swellings, especially in people of Oriental origin.


2007 ◽  
Vol 122 (9) ◽  
pp. 986-989 ◽  
Author(s):  
S E J Connor ◽  
M J Gleeson ◽  
E Odell

AbstractObjectives:To describe a unique presentation of a predominantly extracranial glomus faciale tumour. To discuss the role of imaging in the differential diagnosis and evaluation of a hypervascular parotid mass. To review the previous literature concerning the glomus faciale tumour.Case report:A 54-year-old woman presented with a six-month history of facial weakness, pain and a parotid mass. Ultrasound revealed a hypervascular parotid mass and pre-operative core biopsy suggested a paraganglioma. Computed tomography defined its deep extent and demonstrated involvement of the petrous temporal bone along the descending portion of the facial nerve canal with a pattern of permeative lucency. A tumour was surgically removed which arose from the facial nerve from the second genu to the proximal divisions within the parotid gland and histology confirmed a paraganglioma.Conclusions:A facial nerve glomus faciale tumour should be considered in the differential diagnosis of a hypervascular parotid mass and may present in a predominantly extracranial location. Computed tomography will prove helpful in such a case in order to limit the differential diagnosis and to define the extent of skull base involvement.


2016 ◽  
Vol 37 (03) ◽  
pp. 275-279 ◽  
Author(s):  
Ricardo Camelo ◽  
Josias Silva ◽  
Rafael Camelo ◽  
Moana Malta ◽  
Arnon Alves Filho ◽  
...  

AbstractPneumoventricle and liquoric fistula are possible complications of traumatic brain injury (TBI), the main cause of morbimortality related to trauma in Brazil. Liquoric fistulae are more common after direct trauma with skull base fractures. However, pneumoventricle is rare and occurs due to excessive cerebrospinal fluid (CSF) drainage in the presence of a poorly compliant ventricle system, resulting in the influx of air to its interior. The pathophysiology of tension pneumoventricle remains uncertain. However, the traumatic cause is certain and multiple bone fractures of the face and liquoric fistula may contribute to the process. If symptomatic, the tension pneumoventricle can cause rapid clinical deterioration. The authors aim to report a rare case of post-TBI tension pneumoventricle with complete resolution and without signs of recurrence of the liquoric fistula after surgical treatment.


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Mohd Latiff Iqramie Muhamad Zaki ◽  
Hamzah Sukiman ◽  
Mohanaprakash KR Arasappan ◽  
Ariff Iskandar Ahmad

We are reporting a case of previously undiagnosed hepatoblastoma in a healthy child, who presented acutely in a post-traumatic setting. We reported a 7-year-old boy, with no previous medical history, presented with gradual worsening abdominal pain following an episode of trivial trauma to the abdomen two weeks prior. He was anaemic at presentation, and had a distended abdomen with a tender enlarged liver. Computed tomography (CT) of the abdomen showed a grossly enlarged left lobe of the liver, within which was an organized hematoma. Serum alphafetoprotein (α-FP) was raised significantly. The liver injury was managed conservatively and the child recovered well. He is set to undergo staging scans and further workup, in anticipation of subsequent systemic therapy. Though exceedingly unlikely in older children, the diagnosis of hepatoblastoma should be entertained in those with an enlarged liver with a clinical presentation masquerading as a ‘straightforward’ liver injury.


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