RESUMO
A 56-year-old woman with a 10-year history of bilateral silicone breast implants presented to the ear, nose and throat outpatient clinic with a 2-month history of a right-sided neck lump. She was found to have a 1.3cm supraclavicular lymph node that gave the clinical impression of being reactive. Ultrasonography guided fine needle aspiration was inconclusive and initial review of subsequent computed tomography failed to identify a cause. This was followed by excisional biopsy of the lymph node, which revealed a silicone granuloma that was linked to a ruptured right-sided breast implant placed ten years previously. This case highlights the importance for otolaryngologists to consider silicone granuloma among the differential diagnoses of cervical lymphadenopathy in patients with a history of silicone breast implants. Recognising this differential diagnosis could avoid undue anxiety for patient and clinician regarding more serious pathology.
Assuntos
Implantes de Mama/efeitos adversos , Granuloma/etiologia , Linfadenopatia/etiologia , Silicones/efeitos adversos , Feminino , Granuloma/diagnóstico por imagem , Humanos , Linfonodos/diagnóstico por imagem , Linfadenopatia/diagnóstico por imagem , Pessoa de Meia-Idade , Pescoço , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation.
Assuntos
Doenças do Ceco/etiologia , Doenças do Colo/etiologia , Hérnia Inguinal/complicações , Obstrução Intestinal/etiologia , Perfuração Intestinal/etiologia , Doença Aguda , Doenças do Ceco/cirurgia , Doenças do Colo/cirurgia , Tratamento de Emergência , Hérnia Inguinal/cirurgia , Humanos , Obstrução Intestinal/cirurgia , Perfuração Intestinal/cirurgia , Masculino , Pessoa de Meia-Idade , Omento , EscrotoRESUMO
Skip segment Hirschprung's disease (SSHD) is an uncommon variant of Hirschprung's disease where normal intestine is interspersed proximally and distally by abnormal, aganglionated intestine. These segmental changes have no well-defined embryological explanation. We present a case of SSHD in the small bowel and concomitant perforated Meckel's diverticulum, with review of the literature relevant to SSHD.