RESUMO
OBJECTIVE: Scarf pin inhalation is becoming a frequent accident among young Moroccan woman who wears islamic veil. The aim of the study is to highlight indications, principles and challenges of surgical removal of that particular foreign body. METHODS: Twenty-eight patients were hospitalized in Thoracic Surgery department of Ibn Sina Hospital at Rabat between January 2008 and June 2013 for surgical removal of a pin scarf after unsuccessful endoscopy. RESULTS: Mean age was 20 years. Inhalation was accidental in all cases. Average interval between inhalation and surgery was 10 days. Penetration syndrome was found in 82% of patients. Pin was located at the left tracheo-bronchial tree in 53.5% of cases and at the right one in 46.4%. All were operated by thoracotomy. Surgery was conservative in all cases, and postoperative course was uneventful. CONCLUSION: In case of failure endoscopic treatment, surgery remains the only alternative. It must be as conservative as possible. Short interval between inhalation accident and surgery prevents parenchymal resection.
Assuntos
Brônquios/cirurgia , Corpos Estranhos/cirurgia , Aspiração Respiratória/cirurgia , Traqueia/cirurgia , Ferimentos Penetrantes , Brônquios/lesões , Broncoscopia , Estudos de Coortes , Feminino , Humanos , Marrocos , Toracotomia , Traqueia/lesões , Falha de Tratamento , Adulto JovemAssuntos
Hiperplasia do Linfonodo Gigante/patologia , Diafragma/patologia , Doenças do Mediastino/patologia , Hiperplasia do Linfonodo Gigante/diagnóstico por imagem , Hiperplasia do Linfonodo Gigante/cirurgia , Feminino , Humanos , Doenças do Mediastino/diagnóstico por imagem , Doenças do Mediastino/cirurgia , Radiografia , Toracotomia/métodosAssuntos
Hemangioma Cavernoso/diagnóstico , Neoplasias Torácicas/diagnóstico , Parede Torácica/patologia , Adolescente , Hemangioma Cavernoso/diagnóstico por imagem , Hemangioma Cavernoso/epidemiologia , Hemangioma Cavernoso/patologia , Humanos , Incidência , Masculino , Radiografia Torácica , Doenças Raras/diagnóstico , Doenças Raras/diagnóstico por imagem , Costelas/patologia , Neoplasias Torácicas/diagnóstico por imagem , Neoplasias Torácicas/epidemiologia , Neoplasias Torácicas/patologia , Parede Torácica/diagnóstico por imagemAssuntos
Sarcoma Sinovial/diagnóstico , Neoplasias Torácicas/diagnóstico , Parede Torácica/patologia , Tomografia Computadorizada por Raios X , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Quimioterapia Adjuvante , Dor no Peito/etiologia , Terapia Combinada , Diafragma/patologia , Doxorrubicina/administração & dosagem , Evolução Fatal , Humanos , Ifosfamida/administração & dosagem , Neoplasias Pulmonares/secundário , Masculino , Invasividade Neoplásica , Radioterapia Adjuvante , Sarcoma Sinovial/diagnóstico por imagem , Sarcoma Sinovial/tratamento farmacológico , Sarcoma Sinovial/patologia , Sarcoma Sinovial/radioterapia , Sarcoma Sinovial/secundário , Sarcoma Sinovial/cirurgia , Neoplasias Torácicas/diagnóstico por imagem , Neoplasias Torácicas/tratamento farmacológico , Neoplasias Torácicas/patologia , Neoplasias Torácicas/radioterapia , Neoplasias Torácicas/cirurgia , Parede Torácica/diagnóstico por imagem , Parede Torácica/cirurgia , ToracotomiaAssuntos
Dor no Peito/etiologia , Osteomielite/cirurgia , Costelas/cirurgia , Tuberculose Osteoarticular/cirurgia , Administração Oral , Adulto , Antituberculosos/administração & dosagem , Biópsia , Terapia Combinada , Humanos , Masculino , Mycobacterium tuberculosis/isolamento & purificação , Osteomielite/microbiologia , Osteomielite/patologia , Osteotomia , Costelas/microbiologia , Costelas/patologia , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Tuberculose Osteoarticular/complicações , Tuberculose Osteoarticular/microbiologia , Tuberculose Osteoarticular/patologiaAssuntos
Carcinoma Adenoide Cístico/cirurgia , Dispneia/etiologia , Neoplasias da Traqueia/cirurgia , Adulto , Anastomose Cirúrgica , Biópsia , Broncoscopia , Carcinoma Adenoide Cístico/patologia , Terapia Combinada , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Neoplasias da Traqueia/patologia , Resultado do TratamentoRESUMO
INTRODUCTION: The pulmonary epithelioid hemangioendothelioma is a rare vascular intermediate malignancy tumour. CASE PRESENTATION: A 45-year-old man, he shows an isolated chronic cough with a preserved general state of health. The thoracoabdominal Computed tomography showed three well limited opacities of the right lung, among them one shows some calcifications; which we entirely resected by enucleation after a pneumotomy. The histologic examination with immunomarking led to an epithelioid hemangioendothelioma. CONCLUSIONS: The pulmonary epithelioid hemangioendothelioma is a tumour of unpredictable prognosis, bad when linked to the plurifocal and symptomatic forms.
RESUMO
Benign neoplasm of the endobronchial tree is quite rare, while endobronchial lipoma is extremely rare. The irreversible pulmonary damage is due to progressive bronchial obstruction; even so, pleural empyema is exceptionally encountered in a case of endobronchial lipoma. We report a case of a 47-year-old man who had left lung pneumonia with hemoptysis. The chest computed tomography showed cystic bronchiectasis with pleural effusion, Flexible bronchoscopy revealed a round tumor on the left main bronchus.
RESUMO
Leiomyoma of the mediastinum is rare. We report a case of a 57-year-old woman with a cervical mass diving to the intrathoracic. Chest radiography and computed tomography revealed a mass in the right superior mediastinum. The tumor was enucleated by cervicotomy. Histologically, the tumor was diagnosed as leiomyoma.