頸部トロトラスト沈着により死亡せる一症例

概要

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A case of fatal Throtrastoma seen by a 67-year-old male was reported. The patient received a right carotid angiography in 1943 for the investigation of a gunshot wound during the war. Extravasation of Throtrast was notified by the physician and a small induration remained. In 1976, the induration increased in size occupying the whole of the right lateral cervical area. This was accompanied with bouts of clonic seizure, loss of consciousness and lower cranial nerve palsies. In June, 1980, A sudden increase of the mass, high fever with general malaise, and permanent lower cranial nerve palsies led the patient seek administration to the University Hospital. His general condition kept detereorating with two attacks of severe hemoptysis and the patient deceased. Necropsy revealed a large Throtrast granuloma, containing amorphous mass of residual Throtrast, extending from the cranial base down to the mediastinum. Two perforations, which led to the fatal hemoptysis, were identified at the hypopharynx and tracheocarina. Both the right brachiocephalic artery and innominate vein were occluded and the right carotid artery was constricted to a narrow cleft. A bibliographical review of Throtrast granuloma was also included.
社団法人日本耳鼻咽喉科学会の論文