ABSTRACT
OBJECTIVE: Scarf pin inhalation is becoming a frequent accident among young Moroccan woman who wears islamic veil. The aim of the study is to highlight indications, principles and challenges of surgical removal of that particular foreign body. METHODS: Twenty-eight patients were hospitalized in Thoracic Surgery department of Ibn Sina Hospital at Rabat between January 2008 and June 2013 for surgical removal of a pin scarf after unsuccessful endoscopy. RESULTS: Mean age was 20 years. Inhalation was accidental in all cases. Average interval between inhalation and surgery was 10 days. Penetration syndrome was found in 82% of patients. Pin was located at the left tracheo-bronchial tree in 53.5% of cases and at the right one in 46.4%. All were operated by thoracotomy. Surgery was conservative in all cases, and postoperative course was uneventful. CONCLUSION: In case of failure endoscopic treatment, surgery remains the only alternative. It must be as conservative as possible. Short interval between inhalation accident and surgery prevents parenchymal resection.
Subject(s)
Bronchi/surgery , Foreign Bodies/surgery , Respiratory Aspiration/surgery , Trachea/surgery , Wounds, Penetrating , Bronchi/injuries , Bronchoscopy , Cohort Studies , Female , Humans , Morocco , Thoracotomy , Trachea/injuries , Treatment Failure , Young AdultABSTRACT
We report a rare case of a giant desmoid tumour responsible for cardiac and respiratory failure. Complete removal was decided upon, despite an initial failure in another centre because of symptom severity. In such cases, wide local resection remains the best therapeutic approach, but the risk of local recurrence is high. Literature review confirms the exceptional presentation and the benefit of aggressive surgery.
Subject(s)
Fibromatosis, Aggressive/physiopathology , Heart Failure/etiology , Mediastinal Neoplasms/physiopathology , Female , Fibromatosis, Aggressive/diagnostic imaging , Fibromatosis, Aggressive/pathology , Fibromatosis, Aggressive/surgery , Humans , Mediastinal Neoplasms/diagnostic imaging , Mediastinal Neoplasms/pathology , Mediastinal Neoplasms/surgery , Mediastinum/diagnostic imaging , Mediastinum/pathology , Mediastinum/surgery , Middle Aged , RadiographySubject(s)
Echinococcosis, Pulmonary/pathology , Echinococcosis, Pulmonary/surgery , Female , Humans , Middle AgedSubject(s)
Hemangioma, Cavernous/diagnosis , Thoracic Neoplasms/diagnosis , Thoracic Wall/pathology , Adolescent , Hemangioma, Cavernous/diagnostic imaging , Hemangioma, Cavernous/epidemiology , Hemangioma, Cavernous/pathology , Humans , Incidence , Male , Radiography, Thoracic , Rare Diseases/diagnosis , Rare Diseases/diagnostic imaging , Ribs/pathology , Thoracic Neoplasms/diagnostic imaging , Thoracic Neoplasms/epidemiology , Thoracic Neoplasms/pathology , Thoracic Wall/diagnostic imagingSubject(s)
Sarcoma, Synovial/diagnosis , Thoracic Neoplasms/diagnosis , Thoracic Wall/pathology , Tomography, X-Ray Computed , Adolescent , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Chemotherapy, Adjuvant , Chest Pain/etiology , Combined Modality Therapy , Diaphragm/pathology , Doxorubicin/administration & dosage , Fatal Outcome , Humans , Ifosfamide/administration & dosage , Lung Neoplasms/secondary , Male , Neoplasm Invasiveness , Radiotherapy, Adjuvant , Sarcoma, Synovial/diagnostic imaging , Sarcoma, Synovial/drug therapy , Sarcoma, Synovial/pathology , Sarcoma, Synovial/radiotherapy , Sarcoma, Synovial/secondary , Sarcoma, Synovial/surgery , Thoracic Neoplasms/diagnostic imaging , Thoracic Neoplasms/drug therapy , Thoracic Neoplasms/pathology , Thoracic Neoplasms/radiotherapy , Thoracic Neoplasms/surgery , Thoracic Wall/diagnostic imaging , Thoracic Wall/surgery , ThoracotomySubject(s)
Carcinoma, Adenoid Cystic/surgery , Dyspnea/etiology , Tracheal Neoplasms/surgery , Adult , Anastomosis, Surgical , Biopsy , Bronchoscopy , Carcinoma, Adenoid Cystic/pathology , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Tracheal Neoplasms/pathology , Treatment OutcomeSubject(s)
Chest Pain/etiology , Osteomyelitis/surgery , Ribs/surgery , Tuberculosis, Osteoarticular/surgery , Administration, Oral , Adult , Antitubercular Agents/administration & dosage , Biopsy , Combined Modality Therapy , Humans , Male , Mycobacterium tuberculosis/isolation & purification , Osteomyelitis/microbiology , Osteomyelitis/pathology , Osteotomy , Ribs/microbiology , Ribs/pathology , Tomography, X-Ray Computed , Treatment Outcome , Tuberculosis, Osteoarticular/complications , Tuberculosis, Osteoarticular/microbiology , Tuberculosis, Osteoarticular/pathologyABSTRACT
INTRODUCTION: The pulmonary epithelioid hemangioendothelioma is a rare vascular intermediate malignancy tumour. CASE PRESENTATION: A 45-year-old man, he shows an isolated chronic cough with a preserved general state of health. The thoracoabdominal Computed tomography showed three well limited opacities of the right lung, among them one shows some calcifications; which we entirely resected by enucleation after a pneumotomy. The histologic examination with immunomarking led to an epithelioid hemangioendothelioma. CONCLUSIONS: The pulmonary epithelioid hemangioendothelioma is a tumour of unpredictable prognosis, bad when linked to the plurifocal and symptomatic forms.
ABSTRACT
Benign neoplasm of the endobronchial tree is quite rare, while endobronchial lipoma is extremely rare. The irreversible pulmonary damage is due to progressive bronchial obstruction; even so, pleural empyema is exceptionally encountered in a case of endobronchial lipoma. We report a case of a 47-year-old man who had left lung pneumonia with hemoptysis. The chest computed tomography showed cystic bronchiectasis with pleural effusion, Flexible bronchoscopy revealed a round tumor on the left main bronchus.
ABSTRACT
Leiomyoma of the mediastinum is rare. We report a case of a 57-year-old woman with a cervical mass diving to the intrathoracic. Chest radiography and computed tomography revealed a mass in the right superior mediastinum. The tumor was enucleated by cervicotomy. Histologically, the tumor was diagnosed as leiomyoma.