scholarly journals Conservative management of laryngeal perforation in a rural setting: case report and review of the literature on penetrating neck injuries

CJEM ◽  
2011 ◽  
Vol 13 (02) ◽  
pp. 127-132 ◽  
Author(s):  
Michael R. Kolber ◽  
Anne Aspler ◽  
Richard Sequeira
Keyword(s):  
Case Report ◽  
Care Management ◽  
Standard Of Care ◽  
Rural Setting ◽  
Neck Injuries ◽  
Review Of The Literature ◽  
Significant Morbidity ◽  
Neck Trauma ◽  
Penetrating Neck Trauma ◽  
Rule Out

ABSTRACTPenetrating neck injuries (PNIs) are infrequent but can result in significant morbidity and mortality. Although surgical management of unstable patients with penetrating neck trauma is the standard of care, management of stable patients remains controversial owing to the possibility of occult injuries. Recent studies suggest that physical examination and ancillary imaging may be sufficiently accurate to diagnose or rule out surgically significant injuries in PNI. We report a patient with a laryngeal perforation who was managed conservatively in a rural hospital without complications and review the literature pertinent to cases of this nature.

Penetrating neck injury: case report and evaluation of management

2000 ◽  
Vol 114 (7) ◽  
pp. 554-556 ◽  
Author(s):  
M. Tariq ◽  
A. Kalan ◽  
S. S. Surenthiran ◽  
A. Bhowmik
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Effective Means ◽  
Neck Injury ◽  
Urban Violence ◽  
Neck Injuries ◽  
Neck Trauma ◽  
Specific Approach ◽  
Penetrating Neck Injury ◽  
Penetrating Neck Trauma

Greater urban violence has resulted in an increased incidence of penetrating neck trauma. Penetrating neck wounds can present difficult diagnostic and therapeutic dilemmas. The evaluation and management of such injuries, however, remains controversial. There is no universally accepted specific approach to the management of patients with penetrating neck injuries, with some surgeons advocating mandatory neck exploration whilst others believe in selective surgical intervention.We believe that an equal willingness for both conservative and surgical intervention as dictated by serial bedside evaluation with adequate radiological and endoscopic support can provide the clinician a safe and effective means of managing a potentially complex and lethal problem.

scholarly journals Tracheal Glomus Tumor: A Case Report and Review of the Literature

Rare Tumors ◽  
2016 ◽  
Vol 9 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Ollin Venegas ◽  
Andrew Newton ◽  
Norge Vergara ◽  
Sunil Singhal ◽  
Jarrod D. Predina
Keyword(s):  
Case Report ◽  
Care Management ◽  
Glomus Tumor ◽  
Standard Of Care ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Glomus Tumors

Glomus tumors are rare neoplasms that typically occur within the dermis or subcutis of the subungual space. Primary glomus tumors of the thorax are exceedingly uncommon, thus standard-of-care management is lacking. In this report we describe the management of a patient presenting with a symptomatic glomus tumor of the posterior trachea, and provide a comprehensive review including all documented tracheal glomus tumor reports.

Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

2011 ◽  
Vol 15 (1) ◽  
pp. 58-60
Author(s):  
Janice Bacher ◽  
Dalal Assaad ◽  
David N. Adam
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Conservative Management ◽  
Treatment Options ◽  
Pyogenic Granuloma ◽  
Conservative Approach ◽  
Review Of The Literature ◽  
Atypical Case ◽  
Over Time ◽  
Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

Pegfilgrastim-associated large-vessel vasculitis developed during adjuvant chemotherapy for breast cancer: A case report and review of the literature

2020 ◽  
Vol 26 (7) ◽  
pp. 1785-1790 ◽  
Author(s):  
Jun Nakamura ◽  
Tomoyo M Nishi ◽  
Shun Yamashita ◽  
Hiroaki Nakamura ◽  
Ken Sato ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Adjuvant Chemotherapy ◽  
Supportive Therapy ◽  
Granulocyte Colony Stimulating Factor ◽  
Review Of The Literature ◽  
Breast Cancer Chemotherapy ◽  
Prophylactic Use ◽  
Stimulating Factor ◽  
Rule Out

Introduction Granulocyte colony-stimulating factor (G-CSF) is widely used as a neutrophil supportive therapy in breast cancer chemotherapy. Common adverse events of G-CSF include bone pain, headache, and fatigue; however, reports of G-CSF-associated vasculitis are few. Case report A 66-year-old woman who had undergone surgery for breast cancer received adjuvant chemotherapy with prophylactic use of pegfilgrastim (peg-G). She developed peg-G-associated vasculitis 11 days after initially receiving peg-G. Management and outcome: Although various blood and culture tests were required to rule out other vasculitis syndromes and infections, her symptoms spontaneously disappeared without any treatment other than discontinuation of the causal drug. Discussion G-CSF-associated vasculitis is occasionally accompanied by severe complications such as aortic dissection and aneurysm formation. This case report is important to draw attention towards this rare and difficult-to-diagnosis adverse event of peg-G.

Penetrating neck trauma: A 5-year review of the literature, 1983 to 1988

1990 ◽  
Vol 11 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Joseph A. Brennan ◽  
Arlen D. Meyers ◽  
Bruce W. Jafek
Keyword(s):  
Review Of The Literature ◽  
Neck Trauma ◽  
Penetrating Neck Trauma

scholarly journals Gunshot injury neck: an amazing case

1970 ◽  
Vol 17 (2) ◽  
pp. 144-146
Author(s):  
Nitin Gupta ◽  
RC Yadav
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Small Area ◽  
Neck Region ◽  
Gunshot Wounds ◽  
Gunshot Injury ◽  
Significant Morbidity ◽  
Neck Trauma ◽  
Life Threatening ◽  
Close Range

Introduction: In this era use of firearms has become more prevalent in society. There is increase in numbers of firearm homicidal and suicidal victims. Injuries from gunshot wounds of head and neck vary in extant and significance, forming a spectrum from trivial to life threatening lesions. The head and neck have many vital structures confined to a small area of body, and hence in the event of head and neck trauma, there is greater potential of leading to a fatality. Case report: We report a case of homicidal gunshot injury (close range) sustained in the neck region, with the bullet having travelled through the neck without causing any mortality and little morbidity to the victim. Conclusion: Penetrating through and through, gunshot injury neck without causing any mortality and any significant morbidity is a very amazing incidence. Key words: Firearm; Gunshot; Bullet; Homicidal; Close range injury DOI: http://dx.doi.org/10.3329/bjo.v17i2.8857 BJO 2011; 17(2): 144-146

Penetrating Neck Trauma

2016 ◽  
Author(s):  
Adam R. Kellogg ◽  
B. Witkind Davis
Keyword(s):  
Airway Management ◽  
Diagnostic Testing ◽  
Case Fatality ◽  
Hemodynamic Instability ◽  
Orotracheal Intubation ◽  
Neck Injuries ◽  
Neck Trauma ◽  
Penetrating Neck Trauma ◽  
Surgical Evaluation ◽  
Serious Injuries

Penetrating neck injuries are approximately 1% of all traumatic injuries in the US, yet the case fatality rate approaches 10%. All emergency physicians need to be able to expediently differentiate those requiring emergent interventions from those with less serious injuries. Initial management of penetrating neck injuries focuses on identification of patients requiring early airway management or emergent surgical evaluation. Due to bleeding, anatomic distortion, hemodynamic instability, or potential airway violation patients with penetrating neck trauma should be presumed to have difficult to manage airways. The emergency physician must be prepared to perform cricothyrotomy, and even tracheostomy, should orotracheal intubation attempts fail. Diagnosis of injury in the stable patient with evidence of violation of the platysma has moved away from the traditional zone based approach and now focuses on structured physical exam and the use of MDCTA. Further diagnostic testing may be required dependent on the results of the MDCTA and should be at the direction of a surgeon.   Keywords: Penetrating Neck Trauma, Laryngotracheal Trauma, Carotid Artery Injury, Airway Management, Cricothyrotomy, Surgical Airway, CT Angiography

scholarly journals Thyroid gland rupture after blunt neck trauma: A case report and review of the literature

2015 ◽  
Vol 12 ◽  
pp. 44-47 ◽  
Author(s):  
Sebastian Arana-Garza ◽  
Marco Juarez-Parra ◽  
Jeronimo Monterrubio-Rodríguez ◽  
Enrique Cedillo-Alemán ◽  
David Orozco-Agüet ◽  
...  
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Review Of The Literature ◽  
Neck Trauma ◽  
Blunt Neck Trauma

scholarly journals Thyroid gland hemorrhage after blunt neck trauma: case report and review of the literature

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Johannes Lemke ◽  
Markus N. Schreiber ◽  
Doris Henne-Bruns ◽  
Gregor Cammerer ◽  
Andreas Hillenbrand
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Review Of The Literature ◽  
Neck Trauma ◽  
Blunt Neck Trauma ◽  
Trauma Case
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