Pyriform sinus haemangioma: an unusual presentation of an unusual condition

We present a rare case of an unusual presentation of a pyriform sinus haemangioma in a normally healthy, Caucasian woman, including our management and a review of the literature. A 44-year-old woman presented complaining of bringing up fresh blood whilst brushing her teeth, dysphonia, food sticking...

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Bibliographic Details
Published in:Journal of laryngology and otology 2011-11, Vol.125 (11), p.1196-1198
Main Authors: Hussain, K, Makura, Z G G
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Biopsy
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Dysphagia
Dysphonia - etiology
Endoscopy
Female
Gastroenterology
Gastrointestinal Hemorrhage - etiology
General anesthesia
Hemangioma
Hemangioma - diagnostic imaging
Hemangioma - physiopathology
Hemangioma - surgery
Humans
Infant
Laryngoscopy
Lasers
Lasers, Gas - therapeutic use
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Non tumoral diseases
Ostomy
Otolaryngology
Otorhinolaryngology. Stomatology
Pharyngeal Neoplasms - diagnostic imaging
Pharyngeal Neoplasms - physiopathology
Pharyngeal Neoplasms - surgery
Pyriform Sinus - pathology
Radiography
Sinuses
Treatment Outcome
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:We present a rare case of an unusual presentation of a pyriform sinus haemangioma in a normally healthy, Caucasian woman, including our management and a review of the literature. A 44-year-old woman presented complaining of bringing up fresh blood whilst brushing her teeth, dysphonia, food sticking in her throat, and epigastric pain for the preceding 12 months, accompanied by a 17.5 kg weight loss. She underwent pre-operative computed tomography and subsequent complete excision of a pyriform sinus haemangioma using CO2 laser. Haemangiomas are congenital vascular malformations and can affect any part of the body. They are not prevalent in adults and are rarely found in the pyriform sinus. Their common presenting symptoms and management have been previously documented; however, the presented case is unusual in both its presentation and management.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215111001307