Management of pharyngocutaneous fistula following laryngectomy with autologous fat graft: A case report and literature review.

INTRODUCTION AND SIGNIFICANCE: Pharyngocutaneous fistula (PCF) is a serious complication following total laryngectomy, significantly impacting patients' quality of life and treatment costs. Management is complex, with potential for recurrence after surgical intervention. CASE PRESENTATION: We present a case of PCF that developed following laryngectomy. Initial conservative treatment failed to resolve the fistula. A pectoralis major myofascial flap was then attempted, but the fistula recurred. Finally, autologous fat grafting was performed with excellent results. CLINICAL DISCUSSION: Conservative management should be the first-line approach for PCF, as most cases respond favorably. However, if the fistula persists, alternative methods should be explored to achieve optimal outcomes. Our case highlights the importance of not persisting with a failed approach. Autologous fat grafting offers a promising alternative with demonstrably positive outcomes. CONCLUSION: Pharyngocutaneous fistula presents a significant challenge in post-laryngectomy care. Surgical repair can be complex with potential complications. Our case demonstrates the effectiveness of autologous fat grafting as a successful treatment modality.

A rare case of a large mesenteric lymphangioma in a 2-year-old child: Case report and review of the literature.

INTRODUCTION AND SIGNIFICANCE: Lymphangiomas are benign tumors that are typically found in the neck and armpit region but can also occur in other locations. The clinical presentation varies depending on their location and size, and surgical resection is the primary treatment option. CASE PRESENTATION: We present the case of a child who presented with a painless and non-obstructing abdominal mass. The mass was diagnosed and underwent complete surgical resection. Subsequent tissue analysis confirmed that the cyst was a lymphangioma. CLINICAL DISCUSSION: These tumors should be considered in the differential diagnosis of cystic lesions in the abdomen, and the importance of performing complete surgical resection is emphasized. CONCLUSION: The importance of complete surgical resection for mesenteric lymphangioma must be emphasized. Partial resection or aspiration should not be performed due to the risk of complications associated with these procedures and the increased risk of recurrence.

A rare case of an isolated primary hydatid cyst in the uterus in a 7-year-old child: Case report and review of the literature.

INTRODUCTION AND SIGNIFICANCE: Hydatidosis is one of the diseases caused by tapeworms that infect humans during their life cycle and still pose a major problem. A review of the medical literature has reported a few cases of serous cysts in the uterus. In most cases, pelvic cysts are asymptomatic and may sometimes cause compressive symptoms or complications when ruptured. CASE PRESENTATION: We presented a case of a serous cyst of the uterus that was discovered through vague abdominal pain. The definitive diagnosis of the case was made during surgery when the cyst was opened, where it was removed and the cavity was closed completely. CLINICAL DISCUSSION: The diagnosis of a serous cyst is based on a good clinical history, with the help of serological tests, in addition to radiological investigations that help to determine the number of cysts, their location, and their surroundings, in order to choose the appropriate therapeutic intervention according to the size of the cyst and its location, for the best patient care. CONCLUSION: Hydatid cysts of the uterus are rare, but they should be included in the differential diagnosis of pelvic cysts to avoid the accidental rupture of the cyst during surgery and the occurrence of an allergic reaction that can sometimes be fatal.