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1.
Rev. Asoc. Méd. Argent ; 132(2): 12-14, jun. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1026330

RESUMO

Se revisan la fisiopatología y los mecanismos que producen la sofocación en el hematoma cervical y se determina que el único tratamiento con posibilidades de éxito vital es el inmediato drenaje del hematoma.


In this article are reviewed the physiopathology and the mechanisms that causes suffocation in the cervical hematoma. It is determined that the only treatment with possibilities of vital success is the immediate drainage of the hematoma.


Assuntos
Humanos , Asfixia/etiologia , Drenagem , Hematoma/fisiopatologia , Hematoma/terapia , Complicações Pós-Operatórias , Asfixia/fisiopatologia , Vértebras Cervicais/cirurgia , Pescoço/cirurgia
2.
Korean Journal of Head and Neck Oncology ; (2): 27-30, 2019.
Artigo em Coreano | WPRIM | ID: wpr-787535

RESUMO

Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review


Assuntos
Idoso , Feminino , Humanos , Cálcio , Equimose , Hematoma , Hemorragia , Hipofaringe , Mucosa , Pescoço , Neoplasias das Paratireoides , Paratireoidectomia , Ruptura , Lágrimas , Glândula Tireoide , Tireoidectomia , Tomografia Computadorizada por Raios X , Ultrassonografia
3.
Korean Journal of Spine ; : 202-205, 2010.
Artigo em Inglês | WPRIM | ID: wpr-70592

RESUMO

Spontaneous spinal epidural hematoma (SSEH) has been rarely reported in the literature. Prompt surgical intervention is recommended for patients with neurologic deficit. However. in rare cases, spontaneous resolution of the SSEH with recovery of the neurological deficit has also been reported. We report a case of SSEH in a 55-year-old woman with a rapidly progressing neurological deficit. Her neurological deficits gradually improved sponta- neously during preoperative evaluation. Serial magnetic resonance imaging(MRI) demonstrated disappearance of the hematoma. Since her neurological status improved within a few hours, we recommended conservative care. Patients initially presenting with severe neurologic dysfunction are potential candidates for conservative management if they demonstrate rapid and progressive improvement in neurologic function. Thus, immediate surgical decompression may not be necessary if neuroimaging and clinical examinations suggest that spinal epidural hematoma will spontaneously resolve.


Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Descompressão Cirúrgica , Hematoma , Hematoma Epidural Espinal , Espectroscopia de Ressonância Magnética , Neuroimagem , Manifestações Neurológicas
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