Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2008-10-20
pubmed:abstractText
In this brief study, we describe a rare tumorlike malformation of both tonsils, that we have named tonsilla partim pendulans. It seems to favour intratonsillar bleeding, resulting in enlargement and obstruction of the oropharynx. The presented case is a 34-year-old healthy woman without history of acute or chronic tonsillitis who complained of an oropharyngeal foreign body sensation since 1 day. Examination revealed a dark red and mobile tumor of 2 cm diameter attached to the lower part of the right tonsil. Furthermore, both tonsils showed a division into two hypertrophic parts. The stem of the tumor was coagulated and the tumor resected under local anaesthesia. Histology showed regular lymphoepithelial tissue with acute haemorrhage and an intact capsule. Actinomyces were found in the tonsillar crypts. Further physical and laboratory findings were unsuspicious. We conclude that patients with this newly described malformation of the tonsils can subsequently develop dysphagia, e.g. in combination with inflammation and mechanical stress. However, tonsillectomy seems not to be mandatory, though in more suspicious cases, histological investigation should exclude rare malignant tumors. Intratonsillar bleeding may cause oropharyngeal obstruction or even ongoing bleeding with relevant blood loss, which should be treated immediately.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0937-4477
pubmed:author
pubmed:issnType
Print
pubmed:volume
265
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
721-3
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
Spontaneous intratonsillar haemorrhage with acute dysphagia.
pubmed:affiliation
Department of Otolaryngology, Head and Neck Surgery, Ludwig-Maximilians University, Munich, Germany. vanessa.siedek@med.uni-muenchen.de
pubmed:publicationType
Journal Article, Case Reports