gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Cervical foreign body as a seldom cause for aemoptoe

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno008

DOI: 10.3205/10hno008, URN: urn:nbn:de:0183-10hno0089

Veröffentlicht: 6. Juli 2010

© 2010 Langer et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Diseases of the respiratory system such as bronchitis or specific diseases like tuberculosis and of course bronchial cancer can cause haemoptoe. Sometimes bleedings in the ENT-region can lead to haemoptoe too. In this event the ENT surgeon is needed. We describe a case of a patient who was sent to the Medical department due to a haemoptoe. There was one case of tuberculosis in his family. The pumological diagnostics showed no relevant findings. Only a lesion in the region of the inferior part of right tonsilla palatina was seen during a bronchoscopic investigation. CT-Scan of the neck and lung showed a foreign body between the mandible and the right pharyngeal muscular system. In a conventional X-ray scan of the neck in 2 complanarities the foreign body was detected as a needle. Due to a Korsakof-Syndrom in alcoholism the patient was not able to tell something about the insertion of the needle and no skin damages was detected. During an endoscopy of the pharynx we found a duct which leeds from the lower part of the right tonsilla palatina to the base of the tongue. By performing a neck dissection and with the help of x-ray-system it was possible to identify and remove the foreign body. Foreign bodies can cause haemoptoe. Never the less in patients without compliance and without findings in normal investigations you have to consider foreign bodies as a potential for haemoptoe. Conventionally X-ray scans in two complanarities can display the localisation of those foreign bodies.