Foreign body aspiration is a major cause of accidental death in children. Laryngeal foreign bodies in some cases, especially when it is narrow cause little airway obstruction and may even present like upper airway infection. This can delay the diagnosis and even may be mis-treated as laryngitis. Case Report: A child presented to the department of ENT with throat pain and hoarseness of voice but gave a history of foreign body ingestion 1 week before. Though the child presented with laryngitis like symptoms, considering the foreign body ingestion history, diagnostic work-up was done to rule out foreign body in larynx. On X-ray, a radio-opaque foreign body was seen in the larynx above the glottis. He was taken to the operation theatre and under general anaesthesia, foreign body was seen and was piercing the posterior pharyngeal wall. It was carefully removed and pus was seen leaking from the removal site. After a course of antibiotics, the child was apparently normal then. Conclusion: A Laryngeal foreign body shows a wide variety of presentations depending on its size and shape. Hence, the children with laryngitis like symptoms should be investigated for foreign body aspiration irrespective of the symptoms if a history of foreign body ingestion was given.
Pituitary adenomas are tumours that occur in the Pituitary gland. Depending on the size it can be divided into Microadenoma (<10mm) and Macroadenoma(>10mm). It can present with endocrine manifestations secondary to hypo or hyper function of pituitary gland and ophthalmological manifestations due to mass effect. Case Report: A 36-year-old female was admitted to our institution with complaints of loss of vision of right eye, headache and amenorrhea for 3 months, which were progressive in nature. Her MRI Scan revealed a well-defined sellar mass, measuring 27 x 23.18 mm, with suprasellar extension, causing expansion of pituitary fossa and superiorly extending into Hypothalamus with mild compression over optic chiasma. Prolactin level was 72.16 ng/ml. Surgery was done under general anesthesias, by Endoscopic assisted transsphenoidal approach. The adenoma was completely removed. Sella opening was closed by synthetic graft. On awakening from anesthesias visual acuity in right eye was immediately and completely restored. Conclusion: Pituitary adenoma is a complex set of benign tumours that present with hypersecretory syndrome and mass effect. An appropriate imaging of pituitary region using MRI and endocrinological consultation is the standard for detection of pituitary adenoma. Although, medical management and radiotherapy offer effective treatment for these tumours in specific situations, Endoscopic Trans-sphenoidal approach continues to provide optimal outcomes with low incidence of morbidity.
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