RESUMO
Non-Hodgkin’s lymphoma often presents outside the lymphoid system. Among the salivary glands, parotid is exclusively involved and it is extremely rare in submandibular gland. We report a case of non-Hodgkin’s lymphoma in submandibular gland, which was initially managed as a case of chronic submandibular sialadenitis, but later on confirmed as non-Hodgkin’s lymphoma after surgical excision and histopathological examination.
RESUMO
Endo-DCR is a safe, quick, less traumatic, with minimal blood loss and post-operative discomfort and last but not the least, avoids external scar. It has high success rate in both primary and secondary cases. Fifty two cases of chronic dacryocystitis were treated by the endoscopic technique including 33 females and 19 males in mean age group 35.8 year, 29 left eye and 23 right eye with 8 patients cannulated with nasolacrimal tube with very good results and few complications.
Assuntos
Adolescente , Adulto , Criança , Doença Crônica , Dacriocistite/cirurgia , Dacriocistorinostomia/instrumentação , Endoscopia , Estudos de Viabilidade , Feminino , Humanos , Obstrução dos Ductos Lacrimais/cirurgia , Masculino , Pessoa de Meia-Idade , Ducto Nasolacrimal/cirurgia , Resultado do TratamentoRESUMO
We report a case of 60-year old male who had difficulty in breathing as well as in swallowing. On examination, he was found to be having proliferative growth of epiglottis and right aryepiglottic fold mimicking neoplasm. So emergency tracheostomy was performed and biopsy taken. He was found to be having asymptomatic miliary mottling on routine x-ray chest PA view. Further on HRCT, it turned out to be lesion suggesting tubercular etiology. Histopathology (epiglottic biopsy) report confirmed the whole process as tubercular. The patient recovered promptly in due course with anti-tubercular treatment. Point remains to be seen that if we can avoid tracheostomy and its complications in such cases.
Assuntos
Antituberculosos , Diagnóstico Diferencial , Epiglote/patologia , Humanos , Neoplasias Laríngeas/diagnóstico , Masculino , Pessoa de Meia-Idade , Traqueostomia , Tuberculose Miliar/diagnósticoRESUMO
Tubercular osteomyelitis of mandible is an extremely rare condition, particularly in comparison to pyogenic infections and neoplastic diseases involving the mandible. We report a case of tubercular osteomyelitis of mandible in an old chronic smoker woman initially suspected of neoplasia, proved later on as primary tubercular osteomyelitis in absence of a primary focus.
RESUMO
Fatal pyothorax following a massive acute retropharyngeal abscess in an adult is reported. Acute non-tuberculous retropharyngeal abscess usually develops following a penetrating injury due to a foreign body or endoscopy. Microbial isolates are mixed and consists of aerobic and anaerobic organisms. It may lead on to mediastinitis since there is a potential communication between the two spaces. Immediate cervical, pleural and mediastinal surgical drainage along with appropriate antibiotics can be life saving.
Assuntos
Adulto , Empiema Pleural/diagnóstico , Evolução Fatal , Humanos , Masculino , Abscesso Retrofaríngeo/complicaçõesRESUMO
Laparoscopic cholecystectomy is the treatment of choice for uncomplicated gallstone disease. Laparoscopic cholecystectomy may result in lost (spilled) gallstones. Such stones may precipitate various infective intra-abdominal complications. An unusual case of spilled gallstones eroding the diaphragm and eventually being expectorated out 12 months after laparoscopic cholecystectomy is reported.
Assuntos
Idoso , Colecistectomia Laparoscópica/efeitos adversos , Colelitíase/diagnóstico por imagem , Fístula do Sistema Digestório/etiologia , Feminino , Humanos , Pneumopatias/etiologia , Doenças Peritoneais/etiologia , Fístula do Sistema Respiratório/etiologiaRESUMO
METHODS: 25 children in the age group of 8-14 years suffering from chronic suppurative otitis media were taken up for myringoplasty using onlay technique under general anaesthesia. RESULTS: All selected cases had a central type of dry perforation, good cochlear reserve and healthy middle ear mucosa. Cases having enlarged adenoids, infection in nose or throat, any traumatic perforation or previous attempt at closure were excluded from the study. It was found that there was 76% take up of graft after two months who also had improvement in hearing. CONCLUSION: We conclude that myringoplasty stands a good chance in children.