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PubMed1995

[Fatal outcome after retrograde insufflation of the eustachian tube].

This case report describes a lethal complication of retrograde air insufflation through the Eustachian tube after myringotomy. A 35-year-old woman presented with otalgia and hearing loss in her left ear, which had occurred after an upper respiratory infection. Otoscopy showed a middle ear effusion. A myringotomy was performed under mask anesthesia in a private clinic. During subsequent retrograde Eustachian tube insufflation, the patient experienced sudden convulsions, followed by cardiac and respiratory arrest. The patient then died some hours later from generalized cardiac and circulation break-down in the intensive care unit of a nearby hospital. The cause of the cardiac and circulation collapse could not be defined completely, but it is believed than an anatomical variant of the tegmen tympani was responsible for the tragic outcome because of an air embolus.

Adult↗
PubMedDate not supplied

Lymphangiomatosis of the body wall: a report of two cases associated with chylothorax and fatal outcome.

We report on two cases of an unusual but distinctive variant of lymphangiomatosis, presenting at birth with predominantly cutaneous involvement of the body wall and complicated by chylothorax. The lesion manifested clinically as a slowly progressive, diffuse, and fluctuant skin swelling. Eventually, almost the entire trunk became affected. There were no bone lesions. Histologically, the soft tissues were diffusely infiltrated by interconnecting mazelike lymphatic vessels. The two infants died from infection at the age of 23 days and 10 months, respectively. Our experience confirms that premortem histologic diagnosis of lymphangiomatosis is difficult to establish. Awareness of the condition and knowledge of its various clinical presentation forms are essential for proper recognition, assessment of the outcome, and evaluation of new therapeutic measures such as interferon.

Chylothorax↗