RESUMO
A 91-year-old Caucasian man on warfarin for atrial fibrillation presented in view of sudden-onset haemoptysis with fresh bleeding with clots immediately after having eaten a piping-hot traditional cheesecake (pastizz) and burning the soft-palate of his mouth. The haemoptysis had resolved by the time that the patient had arrived to hospital. On examination, a 2 cm by 2 cm dark red, solitary mass could be seen just anterior to the uvula. This was not causing any pain or discomfort to the patient. Blood results were mostly unremarkable except for a raised international normalised ratio (INR) of 3.53. The patient was administered 5 mg vitamin K orally in attempt to lower the INR level and warfarin was subsequently omitted for 7 days. He was also prescribed oral steroids on discharge. The lesion resolved in 7 days and warfarin was restarted then with no further consequences.
Assuntos
Anticoagulantes/efeitos adversos , Fibrilação Atrial/tratamento farmacológico , Queimaduras/diagnóstico , Hematoma/diagnóstico , Hemoptise/etiologia , Varfarina/efeitos adversos , Idoso de 80 Anos ou mais , Coagulação Sanguínea/efeitos dos fármacos , Queimaduras/etiologia , Alimentos/efeitos adversos , Hematoma/tratamento farmacológico , Hematoma/etiologia , Hemoptise/tratamento farmacológico , Temperatura Alta/efeitos adversos , Humanos , Coeficiente Internacional Normatizado , Masculino , Palato Mole/irrigação sanguínea , Palato Mole/lesões , Úvula/irrigação sanguínea , Úvula/lesões , Vitamina K/administração & dosagemAssuntos
Intubação Intratraqueal/efeitos adversos , Necrose/patologia , Faringite/etiologia , Úvula/patologia , Idoso , Analgésicos/uso terapêutico , Anti-Infecciosos Locais/uso terapêutico , Humanos , Masculino , Faringite/patologia , Faringite/terapia , Resultado do Tratamento , Úvula/irrigação sanguíneaRESUMO
Uvular necrosis is an extremely rare complication of gastroscopy. We describe the fifth published case of uvular necrosis following an uncomplicated diagnostic gastroscopy in a young man. Presentation with severe sore throat and inability to swallow saliva occurred within 24 hours of gastroscopy and resolved with conservative treatment.
Assuntos
Gastroscopia/efeitos adversos , Doença Iatrogênica , Necrose/patologia , Faringite/patologia , Úvula/patologia , Analgesia , Anestésicos Locais/uso terapêutico , Antibacterianos/uso terapêutico , Gastroscopia/instrumentação , Humanos , Lidocaína/uso terapêutico , Masculino , Necrose/etiologia , Faringite/etiologia , Doenças Raras , Resultado do Tratamento , Úvula/irrigação sanguínea , Úvula/lesões , Adulto JovemRESUMO
Hair tourniquet syndrome is a condition where a hair becomes entangled around an appendage. In some cases a knot will form and the resulting tightened noose will slowly strangulate the appendage. Rarely, this condition will affect the oral cavity, but even more rarely, this condition will affect a dental structure.
Assuntos
Cabelo , Isquemia/etiologia , Úvula/irrigação sanguínea , Anestesia Dentária , Anestesia Geral , Pré-Escolar , Constrição Patológica , Humanos , Isquemia/terapia , Dente/patologiaRESUMO
Uvular necrosis after endotracheal intubation or upper endoscopy is rare. We report here on a case of uvular necrosis and ulceration after endoscopy. The combination of ulceration and necrosis suggests uvular ischemia during endoscopy. The uvula may have been sandwiched between the shaft of the endoscope and the gum or hard palate, or may have been pressed against the posterior pharynx, leading to prolonged ischemia and resultant ulceration and necrosis. Uvular trauma can also be caused by oral pharyngeal suction. We recommend that post-endoscopy uvular necrosis should be managed conservatively based on the patient's symptoms. In all reported cases, and in the present case as well, the uvula healed and the symptoms resolved within 2 weeks (5 - 14 days) after the procedure. The uvula regained its normal appearance. Overall, these patients should have a good clinical outcome.
