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Sinonasal and Laryngeal Presentations of Pituitary Adenoma.
Indian J Otolaryngol Head Neck Surg
February 2025
Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka 576104 India.
Pituitary adenomas, the second most common intracranial pathology, often exhibit symptoms beyond the classic triad of headache, visual disturbances, and hormonal imbalances. Unusual presentations involve sinonasal pathology, cranial nerve involvement, and mass effects on adjacent structures like the skull base. Secretory adenomas may manifest hormonal changes and their effects.
View Article and Find Full Text PDFCase Report: Damaged external limb of montgomery T-tube in a child: a rare complication.
Front Pediatr
February 2025
Department of Respiratory and Critical Care Medicine, Chuiyangliu Hospital affiliated with Tsinghua University, Beijing, China.
Montgomery T-tubes (MT) are well tolerated with rare complications. Here, we report an unusual complication of damaged external limb of the MT in a child. Both physicians and patients should be aware of this possible complication, which can lead to potential fracture of the MT, resulting in unusual airway problems requiring emergency management.
View Article and Find Full Text PDFTracheal Obstruction by Thyroid Gland Extension into the Trachea after Blunt Tracheal Transection.
Surg Case Rep
February 2025
Department of Thoracic Surgery, Institute of Science Tokyo, Tokyo, Japan.
Introduction: Tracheal injuries due to blunt force trauma are rare yet life-threatening conditions, comprising only 4% of chest trauma cases. Diagnosis is often delayed, increasing the risk of severe complications. This report describes a unique case of tracheal obstruction caused by thyroid gland extension into the trachea following blunt trauma, which was managed successfully with venovenous extracorporeal membrane oxygenation (ECMO) and surgery.
View Article and Find Full Text PDFFinding a Needle in a Haystack: An Unusual Case of Foreign Body Aspiration.
Cureus
January 2025
Internal Medicine, Wellington Regional Medical Center, Wellington, USA.
Foreign body aspiration can have serious medical consequences ranging from asphyxiation to infection. Aspiration of sharp, metallic foreign bodies can also pose risks of vascular injury and damage to the surrounding tissue. On the other hand, in the presence of a foreign body, it should be noted that imaging techniques such as magnetic resonance imaging (MRI) may be contraindicated as they can lead to serious injury when the foreign bodies are brought under a magnetic field.
View Article and Find Full Text PDFAn unusual cause of unilateral epistaxis: a leech in the nose.
Rev Inst Med Trop Sao Paulo
February 2025
Kastamonu University, Faculty of Medicine, Department of Otorhinolaryngology, Kastamonu, Turkey.
Leeches are segmental worms commonly found in fresh water in tropical regions. They can enter the human body via the consumption of contaminated water or through the mouth and nose during washing, generally affecting the upper airway and digestive tract. During the blood-sucking process, the leech releases the anticoagulant enzyme "hirudin" from the wound site into the host's circulation together with an anesthetic to prevent the host from feeling its attachment.
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