We report a rare case of an intratracheal neurilemmoma which presented as advanced upper airway obstruction. The tumor was successfully excised by laryngofissure. A review of the world literature is provided.
This is the second in a series of short articles on management of common problems primary care physicians encounter in the office setting. Written by members of postgraduate medicine's Editorial Council, these articles offer a personal perspective gleaned from hands-on experience plus review of the literature. Here, Dr Stack looks at recommendations for Pap smear screening. Although not infallible, the Pap smear has been invaluable in reducing the incidence of cervical cancer over the past 50 years. This article covers current standards as well as controversies and new technologies.
Numerous conditions predispose to Ogilvie's syndrome, a process that mimics bowel obstruction. Characteristic radiographic findings of acute pseudo-obstruction include dilatation of the cecum and the remainder of the colon but not the small intestine. Treatment is individualized. Massive cecal dilatation carries the risk of cecal perforation and its attendant high mortality rate. Conservative therapies, such as nasogastric suction, gentle enemas, and use of a rectal tube, may be beneficial. Decompression by colonoscopy or other means may be necessary.
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