1/7. tetracycline sclerotherapy for the treatment of recurrent pooling of plasma in the submandibular tissue space: case report.We present an unusual case of recurrent swelling after removal of the submandibular and sublingual salivary glands which was found to be the result of a collection of plasma. This was successfully treated by an injection of tetracycline to induce sclerosis.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
2/7. Foreign body reaction to calcium alginate fibre mimicking recurrent tumour of the submandibular salivary gland.A 50-year-old woman was referred after the discovery of adenoid cystic carcinoma in an excised left submandibular gland. Treatment involved clearance of the left submandibular fossa, and bilateral levels II and III selective neck dissections. A left-sided submandibular haematoma developed during the immediate postoperative period. After removal of the clot, there was a persistent, low volume capillary ooze from the left submandibular fossa and a calcium alginate fibre pack (Kaltostat) was left in place to control the bleeding. After an extended period of time the pack excited a foreign body reaction which, on a computed tomogram, mimicked a recurrence of the tumour. We review the role of Kaltostat in this setting and its potential for foreign body reaction, which may mimic serious disease.- - - - - - - - - - ranking = 5keywords = gland (Clic here for more details about this article) |
3/7. Complete recovery after 2 h of cardiopulmonary resuscitation following high-dose prostaglandin treatment for atonic uterine haemorrhage.We report the case of a 31-year-old woman who delivered twins by Caesarean section in whom atonic uterine haemorrhage developed 6 h postoperatively. During conservative treatment with the high-dose prostaglandin analogs sulprostone (PGE(2)) and dinoprost (PGF(2alpha)), acute pulmonary oedema and cardiac decompensation developed and, subsequently, the patient suffered cardiopulmonary arrest. After a 2h-period of cardiopulmonary resuscitation (CPR), it was possible to restore and stabilize circulation under the highest dose of catecholamines. Despite 2h of CPR, the patient was discharged from hospital 3 months later without any major physical or neurocognitive deficit.- - - - - - - - - - ranking = 5keywords = gland (Clic here for more details about this article) |
4/7. hyponatremia and hypoglycemia in acute Sheehan's syndrome.We report the case of a 23-year-old Saudi Arabian woman who presented to the medical intensive care unit with severe hyponatremia and hypoglycemia following a cesarean section delivery complicated by hemorrhage due to disseminated intravascular coagulopathy. She was treated successfully for adrenal insufficiency acutely, and was later discharged on hormone replacement therapy. To our knowledge, this is the first case report of acute Sheehan's syndrome presenting with both hyponatremia and suggestive hypoglycemia. Pituitary necrosis is an uncommon complication of peripartum hemorrhagic shock. Since the initial description by Sheehan in 1937, the incidence of the syndrome has gradually declined through improved management of hemodynamic complications leading to the infarction of the gland. There are many studies describing complications of late Sheehan's syndrome; however, relatively few contain descriptions of the acute phase. In addition, the diagnosis of this syndrome is often determined after resolution of the acute process with resultant lack of data regarding immediate endocrine and imaging abnormalities. In this report, we describe the complete endocrine and imaging assessment of a patient presenting in critical condition due to necrosis of the pituitary gland in the immediate postpartum period.- - - - - - - - - - ranking = 2keywords = gland (Clic here for more details about this article) |
5/7. Possible interaction between sevoflurane and aloe vera.OBJECTIVE: To describe a patient with massive intraoperative bleeding after oral consumption of aloe vera tablets. CASE SUMMARY: A 35-year-old woman lost 5 L of blood during surgery as a result of a possible herb-drug interaction between aloe vera and sevoflurane. DISCUSSION: aloe vera is a common herb used for antiinflammatory and antiarthritic activity, as well as antibacterial, hypoglycemic, and lipid-lowering effects. Compounds contained within aloe vera can cause a reduction in prostaglandin synthesis, which may inhibit secondary aggregation of platelets. Sevoflurane inhibits thromboxane A(2) formation by suppression of cyclooxygenase activity, impairs platelet aggregation, and prolongs bleeding. Although the vascularity and size of the hemangioma were the most important factors for the massive intraoperative blood loss, concomitant use of sevoflurane and aloe vera played a contributory role. An objective causality assessment revealed that this adverse event was possible as a result of the sevoflurane and aloe vera interaction. CONCLUSIONS: There is a potential herb-drug interaction between aloe vera and sevoflurane based on the antiplatelet effects of these 2 agents. Herbal medications with antiplatelet potential should be discontinued before anesthesia and surgery.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
6/7. seizures and the pituitary gland during pregnancy.We present the anaesthetic management of a woman who, at 10 days post partum, suffered a series of convulsions in the context of two episodes of post partum haemorrhage. The probable aetiology of the convulsions is discussed.- - - - - - - - - - ranking = 4keywords = gland (Clic here for more details about this article) |
7/7. Complications associated with excision of a submandibular salivary gland tumor.Recognition and timely correction of serious postoperative complications is essential for an optimal patient outcome. Rapid assessment and prompt treatment prevent irreversible patient complications. In Mr C's case, he has successfully returned to his full level of preoperative activities. His endocrinologist continues to monitor him on a regular basis for the nonpalpable masses found in his thyroid gland. Mr C considers his symptoms of Frey's syndrome only a minor annoyance.- - - - - - - - - - ranking = 5keywords = gland (Clic here for more details about this article) |