RESUMO
The purpose of this study is to present epidemiological, clinical, radiological, histological characteristics and treatment of laryngeal tuberculosis. It is also aimed at making the point about diagnosis difficulties. This retrospective study was conducted over three years; it concerned 4 cases, 3 males and one female. The average age was 35 years. Three of the 4 cases have had a cervical CT scan. All patients have had a laryngoscopy with biopsy and anatomopathological study. The onset modes of the disease have been progressive for all the patients. Topographical study has shown two epiglottic locations, one at the vocal cords and the other one at the posterior commissure. The diagnosis was orientated in the 3 cases by the CT scan and confirmed by anatomopathological exam in all cases. All patients have received anti-TB drugs with good evolution. The laryngeal location of tuberculosis is unusual. The clinical picture is nonspecific, raising the issue of differential diagnosis with tumor pathology. Sectional imaging and CT scan can guide the diagnosis and a positive diagnosis is often discovered on the occasion of a tumor biopsy of a pseudo-tumor lesion. Treatment is based on anti-TB drugs.
Assuntos
Laringe , Neoplasias , Tuberculose Laríngea , Masculino , Humanos , Feminino , Adulto , Tuberculose Laríngea/diagnóstico , Tuberculose Laríngea/tratamento farmacológico , Estudos Retrospectivos , Laringe/patologia , Prega Vocal/patologia , Laringoscopia , Neoplasias/patologiaAssuntos
Dor Abdominal/etiologia , Apendicectomia , Ílio/diagnóstico por imagem , Mucocele/complicações , Neoplasias Peritoneais/complicações , Pseudomixoma Peritoneal/complicações , Feminino , Humanos , Pessoa de Meia-Idade , Mucocele/diagnóstico por imagem , Neoplasias Peritoneais/diagnóstico por imagem , Pseudomixoma Peritoneal/diagnóstico por imagem , Fatores de TempoRESUMO
INTRODUCTION: Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein. To the best of our knowledge, this is the third case of renal venous infarction reported in the literature. CASE PRESENTATION: We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia. CONCLUSIONS: Clinical onset is not specific, so it is important to evoke the diagnosis in the context of pregnancy; computed tomography angiography is the investigation of choice to set the diagnosis. It is important to know that anticoagulation therapy must be initiated as soon as possible.
