phenylephrine-hydrochloride and Rupture--Spontaneous

Two unusual autopsy cases of fatal Ascaris infection have been presented. The first case presents lethal diffuse peritonitis due to duodenal rupture caused by the presence of parasitic Ascaris worm in gastrointestinal tract of 2.5-year-old child. The second one is a case of subacute asphyxia caused by obturation of upper respiratory tract by a large number of adult Ascaris roundworms. General economic crisis and inefficient medical service make possible spreading of almost eradicated disease, thus the possibility of the most serious complications of this helminthiasis must not be forgotten.

Topics: Airway Obstruction; Animals; Ascariasis; Asphyxia; Child, Preschool; Duodenum; Esophagus; Female; Forensic Pathology; Humans; Infant, Newborn; Larynx; Leukocytes; Male; Malnutrition; Nose; Peritoneum; Peritonitis; Rupture, Spontaneous

Spontaneous fracture of the maxillary sinus is usually associated with enophthalmos and pre-existing sinus disease.. We present a case of spontaneous maxillary sinus fracture without enophthalmos and with no preceding history of trauma or evidence of sinusitis.. The closest condition to that presented is silent sinus syndrome. The differences between our case and this syndrome are reviewed. There are no previously reported cases of lateral wall maxillary fracture and associated facial surgical emphysema following nose-blowing.

Topics: Adolescent; Diagnosis, Differential; Humans; Male; Maxillary Fractures; Maxillary Sinus; Nose; Pressure; Rupture, Spontaneous; Tomography, X-Ray Computed

We report a case of a spontaneous rupture of a normal stomach after therapeutic oxygen administration. In this case, early treatment precluded the need for a laparotomy. This rare complication highlights the importance of the right positioning of a nasal catheter and leads us to question its role compared to other means of oxygen delivery (nasal cannulae, Hudson mask, Venturi mask).

Topics: Aged; Female; Humans; Nose; Oxygen Inhalation Therapy; Rupture, Spontaneous; Stomach Rupture

Topics: Animals; Cartilage; Cats; Dura Mater; Ear Diseases; Ear Ossicles; Fascia; Hearing; Humans; Incus; Myringoplasty; Nose; Rupture, Spontaneous; Transplantation, Homologous; Tympanic Membrane; Tympanoplasty

If arterial ligation is contemplated and the site of bleeding has not been identified it is reasonable to ligate the external carotid or maxillary artery, on the basis that this vessel supplies the major part of the nose. If bleeding persists in spite of ligation, this does not mean that the wrong vessel has been tied off but that arterial anastomoses are allowing blood to seep from the ethmoidal to the sphenopalatine area of the nose. If the anterior ethmoidal artery is to be ligated it is worth remembering that in 14-3 per cent of cases the anterior ethmoidal artery is absent unilaterally and in 2-4 per cent of cases absent bilaterally (Shaheen, 1967). The presence of a foramen with a periosteal cuff going through it does not necessarily mean that there is an artery present (Fig. 23). Finally, the blood vessel changes which occur and which are responisble for the persistence of nose bleeds in the elderly are a collagenous change in the muscle coat of medium and small arteries and calcification (not atheroma) in the larger feeding vessels.

Topics: Adult; Age Factors; Aged; Arteries; Blood Pressure; Carotid Artery, External; Epistaxis; Ethmoid Bone; Female; Humans; Hypertension; Ligation; Male; Maxillary Artery; Middle Aged; Nose; Regional Blood Flow; Rupture, Spontaneous; Sex Factors

Topics: Adenocarcinoma; Aged; Cecal Diseases; Colonic Neoplasms; Female; Granuloma; Humans; Intestinal Obstruction; Intubation, Gastrointestinal; Mercury; Mercury Poisoning; Mesentery; Nose; Peritonitis; Radiography; Rupture, Spontaneous

Topics: Acute Disease; Adolescent; Antibodies; Audiometry; Bacteria; Bacterial Infections; Child; Child, Preschool; Drainage; Ear, Middle; Haemophilus influenzae; Humans; Infant; Infant, Newborn; Methods; Nasal Decongestants; Nose; Otitis Media; Penicillins; Rupture, Spontaneous; Streptococcus pneumoniae; Tympanic Membrane