RESUMO
La flebectasia yugular es una dilatación de la vena. Aparece en el cuello como una masa blanda no dolorosa. Excepcional en los adultos, con muy pocos casos descritos en la literatura mundial. Presentamos a una paciente de 72 años con una tumoración cervical dolorosa que resultó ser una flebectasia de la vena yugular externa derecha con trombosis parcial. El tratamiento es conservador, pero dada la clínica de la paciente y la posibilidad de rotura o complicación tromboembólica se realizó su exéresis quirúrgica (AU)
Jugular phlebectasia is a dilation of the vein. It is observed clinically as a soft, bulky tumour in the neck, with no pain. Rarely seen in adults, there are only a few cases described in the literature. We report a 72-year-old patient who reported a painful cervical mass. Extension studies led to the diagnosis of phlebectasia of the external jugular vein with partial thrombosis. The elective treatment is conservative, but considering the possibility of rupture or thromboembolic complication, we performed surgical exeresis of the lesion (AU)
Assuntos
Humanos , Feminino , Idoso , Veias Jugulares/fisiopatologia , Neoplasias de Cabeça e Pescoço/diagnóstico , Trombose/diagnóstico , Diagnóstico DiferencialRESUMO
Jugular phlebectasia is a dilation of the vein. It is observed clinically as a soft, bulky tumour in the neck, with no pain. Rarely seen in adults, there are only a few cases described in the literature. We report a 72-year-old patient who reported a painful cervical mass. Extension studies led to the diagnosis of phlebectasia of the external jugular vein with partial thrombosis. The elective treatment is conservative, but considering the possibility of rupture or thromboembolic complication, we performed surgical exeresis of the lesion.
Assuntos
Veias Jugulares/patologia , Cervicalgia/etiologia , Trombose Venosa/complicações , Idoso , Dilatação Patológica/complicações , Dilatação Patológica/diagnóstico , Dilatação Patológica/diagnóstico por imagem , Dilatação Patológica/cirurgia , Feminino , Humanos , Imageamento Tridimensional , Veias Jugulares/diagnóstico por imagem , Veias Jugulares/cirurgia , Trombectomia , Tomografia Computadorizada por Raios X , Ultrassonografia , Trombose Venosa/diagnóstico , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/cirurgiaRESUMO
Tularaemia is an uncommon zoonosis in our country. In the outbreak in 2007, there was a notably high incidence of the oropharyngeal form. We report our experience in eight patients with oropharyngeal tularaemia with cervical adenopathies. The mean age was 45 years (11-76), with 5 males. All suffered oropharyngeal pain, fever and asthenia. The time elapsed between the onset of symptoms and attending our clinic varied from 8 to 60 days. Mean duration of oropharyngeal symptoms was 11.7 days, and adenopathies appeared in the first three days. Resolution of adenopathies occurred at 2 to 3.5 months. Three cases needed surgical drainage and two fistulized spontaneously. Seven patients were treated with ciprofloxacin and one with erythromycin. A correct and precocious antibiotic therapy, and sometimes surgical drainage, could accelerate the healing process.
Assuntos
Doenças Linfáticas/etiologia , Doenças Linfáticas/terapia , Doenças da Boca/complicações , Doenças Faríngeas/complicações , Tularemia/complicações , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , PescoçoRESUMO
La tularemia es una zoonosis infrecuente en España. En el brote iniciado en 2007, destaca la elevada incidencia de su forma orofaríngea. Describimos nuestra experiencia en el tratamiento de 8 pacientes con adenopatías cervicales por tularemia orofaríngea. El estudio se realizó en 5 varones y 3 mujeres, con una edad media de 45,3 (rango: 11-76) años. En todos aparecieron dolor orofaríngeo, fiebre y astenia. El tiempo desde el comienzo de los síntomas hasta la consulta a nuestro servicio osciló entre 8 y 60 días. La duración media de los síntomas orofaríngeos fue de 11,7 días, y las adenopatías aparecieron en los primeros 3 días. La resolución de estas adenopatías ocurrió al cabo de 2-3,5 meses. Tres casos precisaron el drenaje quirúrgico, y 2 fistulizaron de forma espontánea. Se trató a 7 pacientes con ciprofloxacino y a uno con eritromicina. Un correcto tratamiento antibiótico temprano, y en algunos casos el drenaje quirúrgico, podrían acelerar la curación
Tularaemia is an uncommon zoonosis in our country. In the outbreak in 2007, there was a notably high incidence of the oropharyngeal form. We report our experience in eight patients with oropharyngeal tularaemia with cervical adenopathies. The mean age was 45 years (11-76), with 5 males. All suffered oropharyngeal pain, fever and asthenia. The time elapsed between the onset of symptoms and attending our clinic varied from 8 to 60 days. Mean duration of oropharyngeal symptoms was 11.7 days, and adenopathies appeared in the first three days. Resolution of adenopathies occurred at 2 to 3.5 months. Three cases needed surgical drainage and two fi stulized spontaneously. Seven patients were treated with ciprofl oxacin and one with erythromycin. A correct and precocious antibiotic therapy, and sometimes surgical drainage, could accelerate the healing process