Highlights
Ethmoidal fibrosarcoma is an extremely rare tumor.
Mostly misdiagnosed because of none specifics symptoms, in this case patient didn’t complaint any nasal symptom.
Treatment is not codified and prognosis is unknown.
Esophageal perforation following an impacted foreign body (FB) is a rare and potentially life-threatening condition. Early clinical suspicion and imaging are important for a targeted management to achieve a good outcome. Endoscopic extraction of esophageal FB is a good and safe treatment alternative while the surgical procedure remains a necessary option for many patients.
We present the case of a 50 years old woman, with no relevant medical history, who accidently ingested a chicken bone during a meal causing mild dysphagia. The patient consulted immediately but was reassured after normal clinical examination. We received the patient 9 days later with severe dysphagia and cervicomediastinal cellulitis. The cervical CT scan showed the significant collection and the FB impacted in the cervical esophagus wall. A first endoscopic exploration drained the pus and allowed the placement of a nasogastric tube. However, the removal of the FB required an open cervical surgery with the evacuation of the collection and the suture of the esophageal perforation followed by the placement of a drainage tube. The patient medical state improved rapidly and no further incidents were noted.
The diagnosis of esophageal FB should be meticulous in order to avoid such life-threatening complications.
Introduction: Mucoepidermoid carcinoma (MEC) is a rare malignant tumor that develops from the salivary
glands. Its treatment includes surgery associated or not with radiotherapy depending on the histological
grade. We report the case of a 38-year-old patient.
Methods: We report a case of a mucoepidermoid carcinoma of the palate, and we specify the clinical,
therapeutic and progressive characteristics of this attack.
Case Report: She is a 38-year-old woman with no significant medical history. The clinical examination
revealed a localized mass at the level of the hard palate, with a smooth normal-looking mucosa measuring
4 cm in long axis, the rest of the clinical examination was normal. Pathology examination confirmed the
diagnosis of low-grade CME. Magnetic resonance imaging was performed objectifying a lesion localized
at the level of the submucosa of the palate without bone extension either to the tongue or to the nasal cavity.
The treatment consisted in excision of the lesion with margin, with monthly monitoring for 6 months with
good progress.
Conclusion: The discovery of a CME in young patients is rare. This observation makes it possible to take
stock of the management of this type of cancer according to histological characteristics.
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