RESUMO
Pleomorphic adenoma located in the soft palate is extremely rare. We report a 42-year-old woman, who presented to the ear nose & throat department with a mucosal swelling of the right soft palate mimicking a peritonsillar abscess. Drainage was attempted several times without significant results. Emergency tonsillectomy was carried out, which showed a tumour intraorally beside the right tonsil. The tumour and the tonsil were radically excised. Histological analysis of the tumour revealed a pleomorphic adenoma. At three-month follow-up the patient was doing well and MRI scan revealed a residual tumour of 6 mm.
Assuntos
Adenoma Pleomorfo/complicações , Neoplasias Orofaríngeas/complicações , Abscesso Peritonsilar/etiologia , Adenoma Pleomorfo/patologia , Adenoma Pleomorfo/cirurgia , Adulto , Feminino , Humanos , Neoplasias Orofaríngeas/patologia , Neoplasias Orofaríngeas/cirurgia , Abscesso Peritonsilar/patologia , Abscesso Peritonsilar/cirurgia , TonsilectomiaRESUMO
Foreign body impactions in oesophagus occur frequently. The causes are oesophageal pathology (anatomical, functional or inflammatory diseases). X-ray may be performed to determine the diagnosis or suspected perforation. Treatment can be conservative with carbonated drinks and observation for up to 24 hours, as up to two thirds of the impactions pass spontaneously. There is no evidence for medical treatment with buscopane, diazepam or glucagone. Emergent endoscopy is performed at risk of perforation by erosive or sharp objects, by obstruction over 24 hours, at risk of aspiration and complete obstruction.
Assuntos
Esôfago , Corpos Estranhos , Algoritmos , Benzodiazepinas/uso terapêutico , Brometo de Butilescopolamônio/uso terapêutico , Bebidas Gaseificadas , Contraindicações , Procedimentos Clínicos , Perfuração Esofágica/diagnóstico por imagem , Perfuração Esofágica/etiologia , Esofagoscópios , Esofagoscopia/efeitos adversos , Esôfago/diagnóstico por imagem , Esôfago/lesões , Medicina Baseada em Evidências , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/terapia , Fármacos Gastrointestinais/uso terapêutico , Glucagon/uso terapêutico , Humanos , Parassimpatolíticos/uso terapêutico , Radiografia , Resultado do TratamentoRESUMO
A 37-year-old woman was admitted to hospital with severe tonsillitis with unilateral necrotizing tonsillitis. She suddenly got fever, malaise, difficulties swallowing, pain in the throat and deterioration despite four days of penicillin treatment. During hospitalisation, she experienced abdominal pain, and blood tests showed pancytopenia. She was transferred to a haematological department, where a bone marrow biopsy showed acute myeloid leukaemia. Subsequently, an abdominal computed tomography with intravenous contrast revealed bilateral renal vein thrombosis, probably because of coagulopathy due to leukaemia.