ABSTRACT
An 83-year-old man reported recent temporomandibular joint complaints and a swelling near his ear. The swelling moved whileopening the mouth. Additional imaging showed an osseous deviation of the right condyle with extension into the masticator space. In addition, several lytic and expansive bone lesions were visible in the skeleton, which initially suggested multiple myeloma. However, blood tests pointed in the direction of prostate cancer that had been treated twenty years earlier. There appeared to be extensive osseous metastatic recurrent prostate carcinoma with a metastasis in the right condyle of the mandible. The patient was treated with palliative systemic therapy.
Subject(s)
Mandibular Condyle , Prostatic Neoplasms , Aged, 80 and over , Humans , Male , Mandible , Mandibular Condyle/pathology , Neoplasm Recurrence, Local/pathology , Temporomandibular Joint , Temporomandibular Joint Disorders , Prostatic Neoplasms/pathology , Palliative CareABSTRACT
UNLABELLED: In patients with acute bacterial rhinosinusitis severe orbital and intracranial complications can occur. This review will illustrate the anatomic relationship between the paranasal sinuses and the orbital and intracranial compartments. Subsequently, the spectrum of orbital and intracranial complications of rhinosinusitis and related imaging findings will be discussed and illustrated by case material from daily practice. TEACHING POINTS: ⢠Acute bacterial rhinosinusitis can cause severe orbital and intracranial complications. ⢠If orbital or intracranial complications are suspected, cross-sectional imaging is mandatory. ⢠Infection can spread from the ethmoid sinus to the orbit through the lamina papyracea. ⢠Frontal sinusitis can spread intracranially through dehiscences or osteomyelitis. ⢠Radiologists must recognize imaging findings of complications of acute bacterial rhinosinusitis.
ABSTRACT
We report a 56-year-old woman with a migrating foreign body in the digestive tract, eventually located at the prevertebral space. The foreign body was missed during outpatient flexible endoscopy. Most important complication is mediastinitis, clinically presenting as malaise, fever and pain between the scapulae.
Subject(s)
Foreign-Body Migration/complications , Foreign-Body Migration/diagnosis , Mediastinitis/etiology , Female , Foreign-Body Migration/surgery , Humans , Middle AgedABSTRACT
BACKGROUND: The most common complication after breast cancer surgery is seroma formation. It is a source of significant morbidity and discomfort. Many articles have been published describing risk factors and preventive measures. The aim of this paper is to provide a systematic review of studies and reports on risk factors and preventive measures. Surgery lies at the core of seroma formation; therefore focus will be placed on surgical ways of reducing seroma. METHODS: A computer assisted medline search was carried out, followed by manual retrieval of relevant articles found in the reference listings of original articles. RESULTS: 136 relevant articles were reviewed. Though the level of evidence remain varied several factors, type of dissection, tools with which dissection is carried out, reduction of dead space, suction drainage, use of fibrin glue and octreotide usage, have been found to correlate with seroma formation and have been shown to significantly reduce seroma rates. CONCLUSION: Seroma formation after breast cancer surgery cannot be avoided at present. There are however several methods to minimize seroma and associated morbidity. Future research should be directed towards the best ways of reducing seroma by combining proven methods.
Subject(s)
Breast Neoplasms/surgery , Lymph Node Excision/adverse effects , Lymph Nodes/surgery , Mastectomy/adverse effects , Seroma/prevention & control , Adult , Aged , Axilla/surgery , Breast Neoplasms/pathology , Drainage/methods , Female , Fibrin Tissue Adhesive/pharmacology , Follow-Up Studies , Humans , Lymph Node Excision/methods , Lymph Nodes/pathology , Mastectomy/methods , Middle Aged , Neoplasm Invasiveness/pathology , Neoplasm Staging , Risk Assessment , Seroma/etiology , Treatment OutcomeABSTRACT
A rare case of abdominal trauma, a handlebar hernia, is described, as well as a review of the pertinent literature. A 7-year-old boy presented to our emergency room after sustaining blunt force to the abdomen; he fell on the handlebar of his bicycle. Immediately after the accident, a bulge was noticeable at the point of impact. Handlebar hernia is a diagnosis that is easily missed, which can lead to strangulation and incarceration of the bowel. With this case report, we hope to augment the knowledge on traumatic abdominal wall hernia, hopefully leading to early diagnosis and treatment.
