Pyocolpos in an elderly woman.

Pyocolpos, an uncommon accumulation of pus in the vagina, has not been previously reported in an elderly woman.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe

Pyocolpos in an Elderly Woman

Pyocolpos, an uncommon accumulation of pus in the vagina, has not been previously reported in an elderly woman.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe

Apport de l’examen endoscopique des voies aériennes supérieures sous sédation dans la prise en charge des troubles respiratoires liés au sommeil :à propos de 255 cas.

info:eu-repo/semantics/publishe

Dynamic Scintigraphy With SPECT-CT of Postoperative Salivary Leak

This 65 year-old woman, 1 month postoperative after maxillary sinus carcinoma (pT4N0cM0) excision and reconstruction, presented with significant left facial clear fluid wound leakage. A salivary or cerebrospinal leakage was suspected. Fluid analysis, CT, and MRI were noncontributory. Dynamic salivary scintigraphy with SPECT-CT allowed for the detection and localization of the leakage from the left parotid gland. Radioactive dose rate of the wound bandage was 50 μSv/h compared with 0.05 μSv/h for background and confirmed the diagnosis. Left total parotidectomy resulted in resolution.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Necrotic adenoids in post-transplant lymphoproliferative disorders.

Post-transplant lymphoproliferative disorders (PTLD) are a potentially fatal complication after solid organ transplantation. The majority of cases are associated with Epstein Barr virus infection (EBV). The first manifestations of PTLD are frequently observed in the ENT area with adenoidal and/or tonsillar enlargement. We present the case of a 12-year old girl with a total nasal obstruction and tonsillitis five months after a kidney transplantation for bilateral congenital kidney hypoplasia. The EBV genome was detected by polymerase reaction three months after surgery. Fiberoptic examination revealed an obstructive necrotic mass in the naso-pharynx. The anatomic-pathologic analysis revealed necrotic adenoids. Necrotic tonsillitis is common. Necrosis of the adenoids, although rarer, can also occur and explains the important respiratory distress. Since two thirds of PTLD patients present with clinical symptoms in the ENT area, the otorhinolaryngologist should be aware of this complication.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Tracheal stenosis following tracheotomy in a COVID‐19 patient

Abstract Hemodialyzed patients with COVID‐19 are at risk for severe complications from acute respiratory distress syndrome, requiring admission to the intensive‐care unit for invasive mechanical ventilation. Post tracheotomy stenosis can be a life‐threatening condition that commonly occurs after iatrogenic injury secondary to tracheotomy or tracheal intubation. We report a case of a 44‐year‐old female patient on maintenance haemodialysis who presented a COVID‐19‐related ARDS that required mechanical ventilation for 4 weeks, followed by a persistent stridor and finally succumbed, 1 month after being discharged from intensive care unit, from a severe respiratory distress due to a tracheal stenosis. Our aim is to highlight the importance of the early recognition and management of post tracheotomy stenosis in patients with persistent respiratory difficulty as stridor after prolonged intubation requiring tracheotomy, in order to improve the prognosis of these patients

A Delayed Fatal Metastatic Hürthle Cell Carcinoma

Hürthle (oxyphilic or oncocytic) cell carcinoma is a variant of follicular cell carcinoma of thyroid. Although this entity of thyroid cancer is well known, its occurrence in young patients has scarcely been reported. We report a case of a 26 year-old male patient, at the time of diagnosis, of Turkish origin, who developed a tracheal, pulmonary and mediastinal metastatic Hürthle cell carcinoma with bilateral cervical and mediastinal lymphadenopathies. This case illustrates an aggressive and metastatic cancer at the time of diagnosis and resistant to all treatment options including surgery, chemotherapy and radioactive iodine

Multiple Endocrine Neoplasia or Accidental Association?

Pheochromocytoma, papillary thyroid carcinoma and hyperparathyroidism have rarely been reported together. Whether this association is coincidental or results from an unknown genetic predisposition is difficult to ascertain.We present the case of a patient who was diagnosed with pheochromocytoma, bilateral papillary thyroid carcinoma and parathyroid hyperplasia with primary hyperparathyroidism. A genetic mutation was hypothesized as the connection between these lesions. Previously described mutations were explored

Traitement des fractures complexes de l'humérus proximal par enclouage verrouillé (Telegraph). Résultats d'une étude prospective préliminaire.

Treatment of complex fractures of the proximal humerus is still controversial. This prospective study was designed to evaluate the results of open reduction and proximal nailing in complex fractures of the proximal humerus. Fifteen patients aged 39 to 83 years (average: 59 years) presenting severely displaced fractures of the proximal humerus were observed after open reduction and fixation by proximal nailing (Telegraph) combined with screwing and/or osteosuture of the tuberosities. The patients were evaluated at one year clinically and radiologically. The Constant score, DASH score and Simple Shoulder Test were calculated. Complementarily, patients were submitted to an isokinetic test. At one year follow-up, the average range of motion was 85 degrees (40 degrees-170 degrees) for elevation, 82 degrees (40 degrees-170 degrees) for abduction, L3 for internal rotation and 34 degrees (10-60 degrees) for external rotation. The average visual analog score was 3 points (0-8 points). The Constant score varied from 17 to 92 points (average: 48 points). Isokinetic evaluation showed mostly a strength deficit in abduction even for patients presenting an excellent result. Functional results were related to the quality of the surgical reduction but also to patients' collaboration. Various treatment methods for complex fracture of the proximal humerus are reported in the literature. When a nearly anatomical reduction is achieved, the here-described method of open reduction and proximal nailing permits to obtain good functional results in most patients. This option should be considered for young patients and even in the elderly where results are comparable to that obtained with hemiarthroplasty in the same condition.English AbstractJournal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe