ABSTRACT
A 74-year-old woman with a 4-month history of hoarseness had a granulomatous lesion of the vocal cords by laryngoscopy and a normal physical examination. Wegener's granulomatosis was confirmed by biopsy. Early treatment with trimethoprim-sulfamethoxazole prevented the evolution toward a more severe systemic form of the disease. The patient remains asymptomatic a year and a half after treatment.
Subject(s)
Granulomatosis with Polyangiitis/diagnosis , Aged , Anti-Infective Agents/therapeutic use , Drug Combinations , Drug Therapy, Combination , Female , Granulomatosis with Polyangiitis/drug therapy , Hoarseness/diagnosis , Humans , Sulfamethoxazole/therapeutic use , Trimethoprim/therapeutic useABSTRACT
Oesophageal perforations due to foreign bodies are a rare pathology with an increased index of complications. Early diagnosis and treatment can reduce the mortality, which accounts for 28 percent. We report 3 cases of oesophageal perforations due to foreign bodies, 2 of them localized at the cervical level and the 3rd, at the end of the thoracic oesophagus, the later ending ominously.
Subject(s)
Esophageal Perforation/etiology , Foreign Bodies/complications , Aged , Esophageal Perforation/physiopathology , Foreign Bodies/diagnostic imaging , Humans , Middle Aged , RadiographyABSTRACT
The incidence of retropharyngeal abscess is decreasing since the arrival on semisynthetic penicillins. We report one case of retropharyngeal abscess, after ingestion of a foreign body, in an adult patient, complicated with infective mediastinitis, pleural effusion and pericarditis. The spreading of the infection is able to be explained either by continuity or through the fascial sheets. The usefulness of the CT scan for diagnosis as well for the stretching of the condition is brought out. We underline the anterolateral cervicotomy as the best procedure for surgical drainage of these complications.
Subject(s)
Abscess/etiology , Abscess/physiopathology , Foreign-Body Migration/complications , Mediastinum/physiopathology , Pericardium/physiopathology , Pharynx/physiopathology , Abscess/microbiology , Aged , Foreign-Body Migration/diagnostic imaging , Humans , Male , Radiography , Staphylococcus/isolation & purification , Streptococcus/isolation & purificationABSTRACT
We report an interesting case of left tracheobronchial foreign body that occurred in a laryngectomized patient during and episode. The patient had few symptoms because of the location of the foreign body in the tracheobronchial tree. Bronchotomy was used to remove the foreign body. The literature was reviewed for clinical and therapeutic aspects.
Subject(s)
Bronchography , Foreign Bodies/diagnostic imaging , Laryngectomy , Trachea/diagnostic imaging , Adult , Bronchi/physiopathology , Bronchi/surgery , Foreign Bodies/physiopathology , Foreign Bodies/surgery , Humans , Male , Trachea/physiopathology , Trachea/surgeryABSTRACT
Paper dealing with 3 cases of laryngeal Pseudosarcoma diagnosed and treated recently (in the last 6 years) at the AA's Department. Discussion about the histogenesis of these growths which components are epithelial and sarcomatous tissues. Survey of the bibliography of the subject.
Subject(s)
Fibroma/pathology , Laryngeal Neoplasms/pathology , Larynx/pathology , Adult , Fibroma/complications , Fibroma/surgery , Humans , Laryngeal Neoplasms/complications , Laryngeal Neoplasms/surgery , Laryngectomy , Laryngoscopy , Male , Middle Aged , Voice Disorders/etiology , Voice Disorders/pathologyABSTRACT
The AA. present 2 cases of esophageal perforation due to foreign bodies among 179 esophagoscopies done for removal of other intruders, which required the endoscopic procedure, during a lapse of 4 years. Considerations regarding the treatment and the evolutive course.