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1.
Am J Otolaryngol ; 41(2): 102371, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31917022

RESUMO

PURPOSE: The aim of this study was to illustrate and confirm that the complete intraoral excision of the sublingual gland alone, is anatomically the most rational approach, for the management of plunging ranula. MATERIAL AND METHODS: We retrospectively reviewed clinical charts of diagnosed HIV-infected patients presenting with plunging ranula. The intraoral approach was used for the complete excision of the sublingual gland with evacuation of the pseudocystic content only. Neither extra oral approach, nor ranula dissection / drainage was performed. The surgical procedure was performed using local anesthesia. Pre- and postoperative MRI-scan investigations were recorded. Histological reports were documented to confirm the diagnosis of oral mucocele. Patients were clinically monitored. RESULTS: We identified 90 adults presenting with oral mucocele, type ranula. Seventy (77%) of them were diagnosed with HIV infection. Plunging ranula was recorded in 35 (50%) patients from the latter group. The study enrolled 11 operated patients whose files contained useable data, including an acceptable follow-up period. The postoperative follow-up period ranged from three to 15 months. The clinical and postoperative MRI-scans of operated patients demonstrated satisfactory results. There were neither postoperative complications nor recurrence of ranula reported. CONCLUSION: The location of the sublingual gland in the floor of the mouth coupled with the physio-pathogenesis of the plunging ranula, makes the transoral complete excision of the offending gland, with the intraoral evacuation of the pseudocyst, anatomically the most rational approach for plunging ranula management. There is no need for cervical approach, ranula dissection and/or postoperative placement of drainage.


Assuntos
Mucocele/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Rânula/cirurgia , Glândulas Salivares/anatomia & histologia , Glândulas Salivares/cirurgia , Seguimentos , Infecções por HIV/complicações , Humanos , Imagem por Ressonância Magnética , Mucosa Bucal , Mucocele/diagnóstico , Mucocele/etiologia , Mucocele/patologia , Rânula/diagnóstico , Rânula/etiologia , Rânula/patologia , Estudos Retrospectivos , Glândulas Salivares/diagnóstico por imagem
2.
Trop Doct ; 49(4): 316-318, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31311462

RESUMO

Mucocoeles are slow-growing, locally aggressive, mucus-containing cysts, lined by epithelium, which, when infected, are called pyomucocoeles. We present the case of a five-year-old girl who presented with a frontal pyomucocoele requiring decompression and adequate antibiotics.


Assuntos
Testa/patologia , Seio Frontal/patologia , Mucocele/patologia , Antibacterianos/uso terapêutico , Pré-Escolar , Descompressão Cirúrgica , Feminino , Seio Frontal/cirurgia , Humanos , Mucocele/tratamento farmacológico , Mucocele/cirurgia , Resultado do Tratamento
3.
Am J Case Rep ; 20: 926-932, 2019 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-31253756

RESUMO

BACKGROUND Mucocele-like lesions are rare breast lesions composed of mucin filled cysts and extravasated mucin that frequently undergo calcification. The most common radiologic feature of a mucocele-like lesion is mammographic microcalcifications of indeterminate nature. The present report demonstrated unusual fluctuation of calcification number and a changing pattern of calcification morphology on mammography in a benign mucocele-like lesion. CASE REPORT A 39-year-old female was referred to our breast clinic because of a screening mammography-detected abnormality in her right breast. The magnification mammogram of her right breast revealed approximately 8 cm of multiple adjacent masses accompanying regional coarse heterogeneous microcalcifications in the inner central area, which corresponded to multiple aggregated cystic lesions on sonography. Each cystic lesion had internal echoes of a complex cystic with solid and septated pattern. Although a biopsy was recommended, the patient refused the tissue diagnosis. During the first 12 months, the overall extent of mass and calcifications did not discernably change on magnification mammograms. However, minute focal changes in the calcification number were detected; single coarse calcification disappeared at 6-month follow-up, and new coarse calcification developed at 12-month follow-up. At 24-month follow-up magnification mammogram, coarse calcification overtly increased in number and size, and changed into a large bizarre dystrophic morphology. A pathologic diagnosis of a benign mucocele-like lesion without upgrade to atypia or malignancy was made using ultrasonography-guided vacuum-assisted biopsy and surgical excision. CONCLUSIONS When calcifications accompany cystic masses and chronologically change their morphologic pattern from indeterminate (coarse heterogeneous) to benign (dystrophic), a diagnosis of mucocele-like lesion should be considered.


Assuntos
Doenças Mamárias/diagnóstico por imagem , Calcinose/diagnóstico por imagem , Mucocele/diagnóstico por imagem , Mucocele/patologia , Adulto , Feminino , Humanos , Biópsia Guiada por Imagem , Mamografia
4.
Ann Surg Oncol ; 26(11): 3478-3488, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31187364

RESUMO

PURPOSE: Mucocele-like lesions of the breast identified on core biopsy are rare high-risk lesions associated with variable upgrade rates to carcinoma on excision. We aimed to identify the clinicoradiopathological features that can help optimize management of this lesion. METHODS: We evaluated 50 mucocele-like lesions identified on core biopsies from two institutions, including 36 with no atypia and 14 with limited atypia. Outcome data from excision or clinicoradiological follow-up were reviewed with core biopsy results. RESULTS: Radiological targets were calcifications in 74% of cases, calcifications with associated mass or density in 16%, and mass in 10%. One of the 16 excised lesions without atypia on core biopsy, which was a mass lesion, was upgraded to mucinous carcinoma on excision. Of the 12 excised lesions with limited atypia, none were upgraded on excision. Among the lesions not excised, 20 without atypia had a median follow-up of 61 months, and 2 with limited atypia had follow-up of 97 and 109 months. None of these 22 patients had new development of their lesions on follow-up. The upgrade rate was 2% in our entire cohort, 3% for lesions without atypia, and 0% for lesions with limited atypia. CONCLUSIONS: Clinicoradiological surveillance can be appropriate when a mucocele-like lesion without atypia is identified on core biopsy for a non-mass lesion with pathological-radiological concordance. For mucocele-like lesions with limited atypia, a nonsurgical approach could be considered if the atypia by itself does not warrant excision. The latter recommendation requires careful clinicopathological correlation and support from additional studies.


Assuntos
Adenocarcinoma Mucinoso/patologia , Neoplasias da Mama/patologia , Calcinose/patologia , Carcinoma Ductal de Mama/patologia , Mucocele/patologia , Adenocarcinoma Mucinoso/cirurgia , Adulto , Idoso , Biópsia com Agulha de Grande Calibre , Neoplasias da Mama/cirurgia , Calcinose/cirurgia , Carcinoma Ductal de Mama/cirurgia , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Mucocele/cirurgia , Prognóstico , Estudos Retrospectivos
5.
Medicine (Baltimore) ; 98(21): e15475, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31124930

RESUMO

RATIONALE: Acquired vertical diplopia is commonly observed in trochlear nerve palsy, often resulting from blunt head trauma or vascular problems. It is rarely caused by tumorous conditions or space occupying lesion. We report the first case of Onodi cell mucocele causing isolated trochlear nerve palsy. PATIENT CONCERNS: A 62-year-old male noticed a double vision which worsened when looking down. On ophthalmologic examinations, the patient showed no abnormalities in visual acuity, intraocular pressure, and no swelling in optic disc. In ocular motility test, he was notable for 10° left hypertropia in primary position, 6° in right head tilt position, 14° in left head tilt position and this was aggravated in right and down gaze. Ostiomeatal complex CT depicted an expansile soft tissue density completely filling the left Onodi cell. DIAGNOSES: He was diagnosed with a trochlear nerve palsy caused by an isolated mucocele in the left Onodi cell. INTERVENTIONS: Three days after presentation, he underwent endoscopic sinus surgery for marsupialization of the mucocele in the left Onodi cell. OUTCOMES: The mucocele was completely removed through the endoscopic endonasal approach. Within 4 months after surgery, his 4th nerve palsy had gradually and completely improved. LESSONS: Onodi cell mucoceles that cause trochlear nerve palsy are extremely rare. Timely surgical decompression is essential to achieve optimal recovery of the neural function. Combined trochlear nerve palsy should be evaluated when Onodi cell mucocele involves the orbital apex from above.


Assuntos
Mucocele/complicações , Doenças dos Seios Paranasais/complicações , Doenças do Nervo Troclear/etiologia , Seio Etmoidal/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Mucocele/patologia , Doenças dos Seios Paranasais/patologia , Seio Esfenoidal/patologia
6.
AJR Am J Roentgenol ; 213(2): 343-348, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30973782

RESUMO

OBJECTIVE. The purpose of this study was to determine whether a novel morphologic characteristic of appendiceal mucoceles at CT-focal distal appendiceal dilatation with a segment of morphologically normal appendix proximally-could predict an underlying neoplastic pathologic abnormality before surgery and histopathologic assessment. MATERIALS AND METHODS. A retrospective study was performed that assessed CT cases from 2012 through 2014. Cases showing morphologic features of a mucocele were identified and categorized into two subgroups: focal distal dilatation with a segment of normal appendix proximally and generalized appendiceal dilatation. The underlying histopathologic diagnosis for each case was assessed and categorized as neoplastic or nonneoplastic. Several additional morphologic findings were also assessed. RESULTS. Forty-nine cases with confirmed histopathologic diagnoses were identified. Of those, 20 of 23 (87.0%) cases with the finding of focal distal dilatation had an underlying neoplastic cause, whereas 14 of 26 (53.8%) cases with generalized dilatation had an underlying neoplastic cause (p = 0.012). The findings of periappendiceal fat stranding (p = 0.004), mural calcification (p = 0.006), and degree of luminal dilatation (p = 0.002) also reached statistical significance. When seen in combination with focal distal dilatation, the positive predictive value for underlying neoplasm approached or reached 100%. CONCLUSION. Our study shows that isolated focal distal appendiceal dilatation with a segment of morphologically normal appendix proximally is significantly associated with an underlying neoplastic histopathologic cause. When seen in combination with mural calcification, a diameter of more than 2 cm, and absence of periappendiceal stranding, an underlying neoplastic cause is strongly suggested.


Assuntos
Neoplasias do Apêndice/diagnóstico por imagem , Apêndice/diagnóstico por imagem , Mucocele/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Adulto , Idoso , Neoplasias do Apêndice/patologia , Apêndice/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mucocele/patologia , Valor Preditivo dos Testes , Estudos Retrospectivos
7.
Chirurgia (Bucur) ; 114(1): 126-130, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30830855

RESUMO

Starting from a typical case, we try to highlight the main critical elements, both in the diagnostic algorithm and in the therapeutic one. We hereby present a 54-year old patient, known with hepatic steatosis and renal microlithiasis, which undergoes an ultrasonography in ambulatory, on the background of unsystematised abdominal discomfort; the ultrasound reveals the presence of a tumoral mass in the right iliac fossa.


Assuntos
Adenocarcinoma Mucinoso/cirurgia , Apendicectomia/métodos , Neoplasias do Apêndice/cirurgia , Apêndice/cirurgia , Doenças do Ceco/cirurgia , Mucocele/cirurgia , Dor Abdominal/etiologia , Adenocarcinoma Mucinoso/diagnóstico por imagem , Adenocarcinoma Mucinoso/patologia , Algoritmos , Neoplasias do Apêndice/complicações , Neoplasias do Apêndice/diagnóstico por imagem , Apêndice/diagnóstico por imagem , Apêndice/patologia , Doenças do Ceco/diagnóstico por imagem , Doenças do Ceco/patologia , Fígado Gorduroso/complicações , Humanos , Cálculos Renais/complicações , Laparoscopia , Pessoa de Meia-Idade , Mucocele/diagnóstico por imagem , Mucocele/patologia , Tomografia Computadorizada por Raios X , Ultrassonografia
8.
BMJ Case Rep ; 12(3)2019 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-30898953

RESUMO

Mucocele of paranasal sinuses commonly affects frontal or frontoethmoidal air cells. With the evolution of endoscopic sinus surgery, the endoscopic marsupialisation has become the standard of care for these lesions. However, the external approach still has a role in selected cases of frontal sinus mucocele. The location of the mucocele and its communication with the natural outflow tract of the frontal sinus are some of the critical factors to be considered while choosing the surgical approach. We have discussed the management of three cases of frontal mucoceles having different locations and one of them having intervening septa. We emphasise that the successful management of far laterally located mucoceles and those with laterally situated septation require an external approach in conjunction with endoscopic marsupialisation.


Assuntos
Drenagem/métodos , Seio Frontal/diagnóstico por imagem , Mucocele/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Adulto , Idoso , Endoscopia , Feminino , Seio Frontal/patologia , Humanos , Imagem por Ressonância Magnética , Masculino , Mucocele/patologia , Mucocele/cirurgia , Doenças dos Seios Paranasais/patologia , Doenças dos Seios Paranasais/cirurgia , Tomografia Computadorizada por Raios X
9.
Med Oral Patol Oral Cir Bucal ; 24(2): e231-e235, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30818316

RESUMO

BACKGROUND: Oral mucocele is the most common minor salivary gland lesion with good prognosis after surgical removal. However, its recurrence is not rare, sometimes bothersome. This study aimed to identify the possible predictive variables affecting the recurrence rate of oral mucocele. MATERIAL AND METHODS: The histoclinical data of 164 patients diagnosed with oral mucocele were retrospectively obtained by reviewing dental records. The predictive variables for its recurrence were identified by analyzing its recurrence rate according to clinical variables. RESULTS: The recurrence rate showed the significant differences according to location and age. Oral mucocele recurred with significantly higher frequency on the ventral mucosa of tongue (50.0%) than on the labial/buccal mucosa (8.8%). Its recurrence was significantly more common in the younger patients (aged < 30 years, 16.0%) than in the older patients (aged > 30 years, 4.4%). However, there was no significant difference in recurrence rates between surgical procedures using scalpels and those using lasers. CONCLUSIONS: Patients with oral mucocele should be more carefully informed of its possible recurrence, especially when it is found on the ventral surface of the tongue or in a younger population.


Assuntos
Mucocele/diagnóstico , Mucocele/patologia , Adolescente , Adulto , Biópsia , Criança , Feminino , Humanos , Terapia a Laser , Lábio/patologia , Masculino , Mucosa Bucal/patologia , Recidiva , Estudos Retrospectivos , Doenças das Glândulas Salivares/diagnóstico , Doenças das Glândulas Salivares/patologia , Doenças das Glândulas Salivares/cirurgia , Glândulas Salivares Menores/patologia , Língua/patologia , Doenças da Língua/patologia , Adulto Jovem
11.
Am J Case Rep ; 19: 1324-1328, 2018 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-30397190

RESUMO

BACKGROUND Delirium is a well-established clinical phenomenon that remains largely underdiagnosed. In light of its association with diminished postoperative outcomes, recent efforts involve implementing preventive strategies and fostering early detection. This report highlights how multidisciplinary interventions can inform risk for delirium and the challenges that accompany identifying at-risk patients. CASE REPORT A 75-year-old male with a history of postoperative cognitive complications including delirium and mild cognitive impairment. He was attending an outpatient preoperative anesthesia clearance assessment prior to a planned removal for a left frontoethmoidal sinus mucocele. As part of clinical care, an in-house neuropsychologist completed a neurobehavioral exam to assess current cognitive status and guide perioperative cognitive care recommendations. Findings were consistent with mild neurocognitive disorder. CONCLUSIONS Given the patient's history and current status, he was listed as a high delirium risk. The team provided information on delirium and delirium risk factors, encouraged the patient to speak to his surgeon and also a geriatric specialist to assist with decision making. Due to their concern about delirium, the patient and his caregiver opted to postpone the left frontoethmoidal sinus mucocele removal.


Assuntos
Transtornos Cognitivos/diagnóstico , Delírio/diagnóstico , Comunicação Interdisciplinar , Assistência Centrada no Paciente/métodos , Idoso , Transtornos Cognitivos/complicações , Delírio/etiologia , Diagnóstico Precoce , Seio Etmoidal/diagnóstico por imagem , Seio Etmoidal/patologia , Seio Etmoidal/cirurgia , Humanos , Masculino , Monitorização Fisiológica , Mucocele/diagnóstico por imagem , Mucocele/patologia , Mucocele/cirurgia , Prognóstico , Medição de Risco , Recusa do Paciente ao Tratamento
12.
J Cancer Res Ther ; 14(6): 1355-1360, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30488856

RESUMO

Aims: Appendiceal mucocele (AM) is a rare pathology, and its reported incidence is 0.3% in all appendectomy specimens. Here, we report a case series of AM and make a brief review of literature. Subjects and Methods: We conducted a retrospective review of a prospectively collected data of patients who diagnosed as AM by histopathological evaluation between January 2009 and June 2015 were demographic data including age and gender, intraoperative findings, and histopathological reports were recorded. All cases were followed-up by routine examination and telephone interview. Statistical Analysis Used: Definitive statistical methods (mean, standard deviation, median, frequency, and percentage) were used to evaluate the study data. Results: Twelve patients were examined in the study with diagnose of AM. The mean age was 51.8 ± 18.6 years (26-83). Female-to-male ratio was 1.4 (7/5). Indications for surgery were acute abdomen in 8 (72.7%) patients with presumptive diagnosis of acute appendicitis and were AM in four patients diagnosed by imaging. Histopathological evaluation revealed mucinous cystadenoma in eight patients, simple retention cysts in three, and borderline mucinous tumor (pseudomyxoma peritonei) in one. The neuroendocrine tumor was obtained on the remaining portion of the appendix in one of the simple retention cysts patients. None of the patients died because of the AM with an average follow-up of 43 months (range: 7-74). Conclusions: Surgical resection is the first choice therapy for AM. Precise treatment modality can remain unclear in some patients because of insufficient preoperative diagnosis. It is nonmalign AM mostly however having mucocele matters because of the significant association with synchronous tumors.


Assuntos
Apendicite/diagnóstico , Apendicite/patologia , Apêndice/patologia , Mucocele/diagnóstico , Mucocele/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Apendicectomia/métodos , Neoplasias do Apêndice/diagnóstico , Neoplasias do Apêndice/patologia , Apendicite/cirurgia , Apêndice/cirurgia , Cistadenoma Mucinoso/diagnóstico , Cistadenoma Mucinoso/patologia , Cistadenoma Mucinoso/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mucocele/cirurgia , Estudos Prospectivos , Estudos Retrospectivos
14.
BMJ Case Rep ; 20182018 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-30337287

RESUMO

Paranasal mucoceles are cystic masses lined with epithelium thought to result from chronic obstruction of an impaired sinus ostia. If sufficiency large, they can cause ophthalmological sequelae including diplopia, visual acuity, globe displacement as well as the rhinological symptoms of facial pain and headache. We present the case of a 57-year-old man who presented with a 1-year history of epiphora and right globe prominence with associated diplopia. Imaging demonstrated a mass located within the medial aspect of the orbit, closely associated to the lamina papyracea and nasolacrimal duct consistent with a dacryocystocele. An alternate diagnosis of an ethmoidal mucocele was considered preoperatively following rhinologist opinion. Complete endoscopic resection of the cyst was undertaken. Histopathology confirmed diagnosis of an ethmoidal mucocele. Our report highlights mucocele should be considered in patients with chronic symptoms secondary to a mass situated in the nasolacrimal duct without radiological orbital bone destruction.


Assuntos
Mucocele/patologia , Ducto Nasolacrimal/patologia , Órbita/diagnóstico por imagem , Doenças dos Seios Paranasais/patologia , Diagnóstico Diferencial , Diplopia/diagnóstico , Diplopia/etiologia , Diplopia/patologia , Endoscopia/métodos , Seio Etmoidal/patologia , Humanos , Doenças do Aparelho Lacrimal/diagnóstico , Doenças do Aparelho Lacrimal/etiologia , Doenças do Aparelho Lacrimal/patologia , Masculino , Pessoa de Meia-Idade , Mucocele/diagnóstico por imagem , Mucocele/cirurgia , Ducto Nasolacrimal/cirurgia , Órbita/patologia , Seios Paranasais/patologia , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
15.
J Indian Soc Pedod Prev Dent ; 36(3): 315-318, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30246756

RESUMO

Oral mucoceles are benign lesions that may appear in any location on the mucosal surfaces of the oral cavity where underlying minor salivary glands are found. The lower lip is the most frequently affected and the most widely reported location. Mucoceles involving the glands of Blandin and Nuhn are infrequent and constitute only about 1.9%-10.3% of the reported cases. Superficial mucoceles are a rare subtype of the Blandin and Nuhn mucoceles and are found only in 4.3%-10% of the mucocele excisions. The purpose of this report is to present a case of a superficial mucocele in the ventral surface of the tongue in a 7-year-old child. The lesion was treated with excisional biopsy.


Assuntos
Mucocele/patologia , Mucocele/cirurgia , Doenças da Língua/patologia , Doenças da Língua/cirurgia , Biópsia , Criança , Feminino , Humanos , Incisivo/cirurgia , Extração Dentária , Dente Decíduo/cirurgia
16.
J Vet Intern Med ; 32(5): 1618-1628, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30079451

RESUMO

BACKGROUND: Gall bladder mucoceles (GBM) are a leading cause of biliary disease in dogs with several breeds, including the Shetland Sheepdog, American Cocker Spaniel, Chihuahua, Pomeranian, and Miniature Schnauzer apparently predisposed. OBJECTIVE: To determine risk factors, clinical features, and response to treatment of GBM in Border terriers (BT). ANIMALS: Medical records of 99 dogs (including 51 BT) with an ultrasonographic (±histopathologic) diagnosis of GBM from three referral centers in the United Kingdom were collected. A control group of 87 similar-aged BT with no ultrasonographic evidence of gall bladder disease was selected for comparison. METHOD: Retrospective case-control study. Odds ratios were calculated to establish breed predisposition. Signalment, presence of endocrine disease, clinicopathologic results, and outcome were compared between the BT, other breeds, and control BTs. RESULTS: The odds of identifying a GBM in a BT in this hospital population was 85 times that of all other breeds (95% confidence interval 56.9-126.8). BT had similar clinical signs and clinicopathologic changes to other breeds with GBM. There was no evidence that endocrinopathies were associated with GBM in BT. CLINICAL SIGNIFICANCE: A robust breed predisposition to GBM is established for the BT.


Assuntos
Doenças do Cão/patologia , Doenças da Vesícula Biliar/veterinária , Mucocele/veterinária , Animais , Estudos de Casos e Controles , Doenças do Cão/genética , Cães , Doenças da Vesícula Biliar/genética , Predisposição Genética para Doença , Mucocele/genética , Mucocele/patologia , Estudos Retrospectivos , Fatores de Risco
17.
Pediatr Dermatol ; 35(4): e210-e211, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29766572

RESUMO

Oral mucoceles are lesions arising mainly from the minor salivary glands and are thought to occur after excretory duct trauma. We report a case of multiple superficial oral mucoceles on a child's labial mucosa after Mycoplasma pneumoniae mucositis. Mucoceles can mimic persistent or recurrent stomatitis and lead to potential errors in management.


Assuntos
Doenças da Boca/etiologia , Mucocele/etiologia , Mucosite/complicações , Mycoplasma pneumoniae , Pneumonia por Mycoplasma/complicações , Antibacterianos/uso terapêutico , Glucocorticoides/uso terapêutico , Humanos , Lactente , Masculino , Doenças da Boca/tratamento farmacológico , Doenças da Boca/patologia , Mucocele/patologia , Mucocele/terapia , Mucosite/microbiologia , Mucosite/terapia , Pneumonia por Mycoplasma/tratamento farmacológico
18.
BMJ Case Rep ; 20182018 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-29776947

RESUMO

An 84-year-old man presented in 2009 with a sensation of discomfort in his anus, combined with difficulty in urination. He had previously undergone a haemorrhoidectomy in 1964. After examination, he was diagnosed with a rectal mucosal cyst and followed up for observation. In 2015, he presented to our hospital complaining that the cyst was prolapsing from his anus. CT revealed a 48×41 mm cystic mass in the anterior wall of the rectum. Tumour extirpation, via a transanal route, was performed. The postoperative pathological diagnosis confirmed a rectal mucocele. Rectal mucoceles are extremely rare, with no prior report of a mucocele in the anterior wall of the rectum. In this case, we believe the mucocele developed from an invagination of the mucous membrane or obstruction of the anal gland during suturing during the previous haemorrhoid surgery.


Assuntos
Hemorroidectomia/efeitos adversos , Mucocele/etiologia , Complicações Pós-Operatórias/etiologia , Doenças Retais/etiologia , Idoso de 80 Anos ou mais , Canal Anal/patologia , Humanos , Masculino , Mucocele/patologia , Doenças Retais/patologia , Reto/patologia
19.
BMJ Case Rep ; 20182018 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-29764849

RESUMO

A 10-year-old girl presented with episodes of migraine. A nasal mass was found randomly during work-up. Interpreted as an osteoma, the mass was removed during endoscopic surgery. However, the histopathological examination turned out to be a pyomucocele in the right middle turbinate, which is an extremely rare yet benign condition in children.


Assuntos
Mucocele , Doenças dos Seios Paranasais , Conchas Nasais , Criança , Endoscopia , Humanos , Transtornos de Enxaqueca/etiologia , Mucocele/complicações , Mucocele/diagnóstico , Mucocele/patologia , Mucocele/cirurgia , Doenças dos Seios Paranasais/diagnóstico , Doenças dos Seios Paranasais/patologia , Doenças dos Seios Paranasais/cirurgia , Supuração/diagnóstico , Tomografia Computadorizada por Raios X , Conchas Nasais/diagnóstico por imagem , Conchas Nasais/patologia
20.
Folia Med (Plovdiv) ; 60(1): 147-153, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29668459

RESUMO

AIM: The present study aimed at identifying the risk factors, typical clinical symptoms and applied treatment in seven cases with mucocele of the paranasal sinuses. MATERIALS AND METHODS: Seven patients suffering from mucocele of the paranasal sinuses were admitted to the Clinic of Neurosurgery and the Clinic of Ear, Nose and Throat Diseases between 2014 and 2016. There were 4 females and 3 males aged between 22 and 78 (95% CI [31.44, 70.23]). Initial symptoms, their duration, clinical presentation upon admission, localization of the mucocele, type of surgical intervention and outcome have all been studied. RESULTS: The localization of the mucocele was frontal (2 cases), fronto-ethmoidal (2 cases), ethmoidal (1 case) and spheno-ethmoidal (2 cases). Risk factors were identified in 4 cases. Endoscopic marsupialization of the mucocele was performed in 5 cases. One patient with intracranial extension of frontal mucocele was treated via right frontobasal craniotomy. One of the patients refused surgery. CONCLUSION: Endoscopic marsupialization should be considered as a method of choice in cases with mucoceles without extensive intracranial invasion. This approach offers adequate drainage, balloon dilatation of the natural sinus openings that prevents future recurrence.


Assuntos
Mucocele , Seios Paranasais , Adulto , Idoso , Bulgária , Feminino , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Mucocele/diagnóstico por imagem , Mucocele/patologia , Mucocele/cirurgia , Seios Paranasais/diagnóstico por imagem , Seios Paranasais/patologia , Seios Paranasais/cirurgia , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Adulto Jovem
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