Endocrine Abstracts

Introduction: Primary hyperparathyroidism is a common disease. It is generally caused by a solitary parathyroid adenoma. Adenomas weighing more than 3.5 g are classified as giant. These giant parathyroid adenomas constitute a rare clinical entity.Case report: A 54-year-old woman was referred to our ENT department for management of newly diagnosed hypercalcaemia. She had no significant medical history. She reported mild constipation, muscular weakness, na...

Introduction: Thyroglossal duct carcinoma (TDCCa) is a very rare finding and its presentation is similar to a benign cyst. Carcinoma arising in this tract is uncommon. It is still debated whetherTDCCa originates from the thyroid gland, from the thyroglossalduct it self (de novo theory) or from both. Although the differentiation may be difficult, this distinction can play a crucial role in treatment decisions regarding the inclusion of thyroidectomy as part of the treatment.</p...

Introduction: Thyroid dyshormonogenesis continues to be a significant cause of congenital hypothyroidism occurring due to a lack of enzymes necessary for the synthesis of thyroid hormones. Treatment can be medical or surgical. Early treatment is important to avoid mental retardation and growth abnormalities.Case reports: We report 3 cases of dyshormonogenetic goiter occurring in 1 female and 2 males. The medium age of the patients was 12 years ranging fr...

AimsNecrotizing external otitis (NEO) is osteomyelitis of the base of the skull. Previously Pseudomonas Aeruginosa was incriminated in 90% of cases. However, fungal NEO have been emerging in recent years. It is a pathology that occurs primarily in immunocompromised terrain such as diabetic and may affect the patient’s functional and vital prognosis.Materials and methodsA retrospective study of 20 cases o...

Aimidentify the clinical presentation of retropharyngeal abscesses in adults and the therapeutic management modalities.Materials and methodsWe illustrate two cases of retropharyngeal abscess in two elderly subjects collected in the ENT department of the Farhat Hached hospital in Sousse.Observations1-/It is about a 70-year-old man, diabetic (DNID) who consulted us ...

Introduction: Necrotizing external otitis (NEO) is a serious life-threatening infection of the external ear and skull base condition. The precise etiology of this condition is unknown. Diabetes mellitus is well known to be one of the most tightly associated characteristics seen in NEO patients. It is documented that diabetes causes endarteritis and microangiopathy, leading to poor microcirculation and impaired polymorphonuclear cell function.Patients and...

Introduction: Bronchogenic cysts are rare benign congenital anomalies related to the abnormal budding of the tracheobronchial tree during embryological development. They are usually located in the mediastinum and intrapulmonary regions. Localization in the cervical area is unusual, and specially, bronchogenic cysts presenting as thyroid cyst are quite rare.Case report: A 43-year-old woman presented with a seven months’ thyroid mass. The patient had ...

Introduction: Thyroid microcarcinoma with palpable cervical node metastasis is a rare clinical situation. Through this work, we aim to study its clinical, therapeutic and evolutionary features.Material and methods: We conducted a retrospective study over 14 cases of thyroid microcarcinoma presenting with a palpable cervical lymph node metastasis collected on the ENT department of Farhat Hached hospital over 28 years (1990–2017).<p class="abstext...

Introduction: Cervical lymphadenopathy is often a diagnostic challenge to medical professional due to its varied etiologies. Malignancies and infections are the main causative factors that should be included in the differential diagnosis. Cervical lymphadenitis is a common manifestation of extra-pulmonary invasion of the tuberculosis. A cervical tuberculous lymphadenitis could be confused with metastatic lymph node of thyroid cancer.Case reports: Case 1:...

Introduction: Graves’ disease represents an autoimmune disease of the thyroid gland, which therapeutic management is controversy. The aim of our study is to discuss, after a review of the literature, the role of surgery, especially total thyroidectomy, in the treatment of Graves’ disease.Patients and methods: We conducted a retrospective study of medical records of 39 patients who underwent surgery for Graves’ disease at the Department of ...