Search

The characteristics of extra-nasopharyngeal angiofibromas tend to be different from angiofibromas of the nasopharynx according to patient gender, patient age, prevalence, affected site, pathogenesis, and clinical and epidemiological features. We report a case of an extra-nasopharyngeal angiofibroma in a 28-year-old man referred to the ENT Clinic for right-sided epistaxis, airflow impairment and nasal swelling. The right nostril was completely occluded works by a reddish-yellow mass that bled easily. The computed tomography scan revealed an "inhomogeneous solid lesion in the nasal fossa". With the patient under general anesthesia, the formation in the anterior portion of the right side of the nasal septum was removed up to its vascular base. Although electrical cauterization efficiently controlled the bleeding, we abraded the sub-perichondral area to prevent further bleeding as well as recurrence. The histological exam report confirmed the diagnosis of angiofibroma. As in our case, epistaxis is commonly the presenting sign of angiofibroma. Yet its onset was peculiar, given that the bleeding started with a low impact trauma. The nasal swelling was also a relevant feature as well as the breathing impairment. Although uncommon, nasal septal angiofibromas should considered in patients with epistaxis., Competing Interests: Conflict of Interest: No potential conflict of interest relevant to this article was reported.

Liver hydatidosis is frequent in Santiago Del Estero. Different therapeutic procedures have been proposed, but surgery is still the best option. This observational retrospective analysis presents the authors' experience and results, with the goal of selecting the best surgical procedures. A total of 66 patients with 89 cysts were evaluated between December 1997 and 2002. Sex, age, cyst localization, complication of cysts, surgical procedure, associated procedures, morbidity and mortality, and hospital stay were evaluated. Of 89 cysts, 10 were complicated; of 66 patients, 59 had solitary cysts. Pericystectomy, Mabit procedure, liver resection, bipolar or tripolar drainage, and marsupialization were used. Morbidity was 22.72%, and mortality was 1.51%. The average hospital stay was 7.03 days. In the follow-up, 33 patients were evaluated, with only 1 recurrence. The results are similar to other published series. Complicated cysts have a more complex solution and evolution. Pericystectomy, Mabit procedure, and liver resections are the chosen surgical procedures in uncomplicated cysts. Laparoscopic surgery undoubtedly has a place in the treatment of liver hydatidosis.

Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.

The Authors presents 3 cases of Hepatic Pseudotumours, analyzed of the diagnostics procedures, concluding that a correct interpretation of the Sonography and CT avoid the utilization of invasive methods.