A Pediatric Case: Blood Boil of the Maxillary Sinus

Accession number;04A0278622
Title;A Pediatric Case: Blood Boil of the Maxillary Sinus
Author; SEKIYAMA KOSUKE (Kagoshimadai Daigakuinshigakukenkyuka Senshinchiryokagakusenko Kankakukibyogakuchokakutokeibushikkangaku) DEGUCHI KOJI (Kagoshimadai Daigakuinshigakukenkyuka Senshinchiryokagakusenko Kankakukibyogakuchokakutokeibushikkangaku) KURONO YUICHI (Kagoshimadai Daigakuinshigakukenkyuka Senshinchiryokagakusenko Kankakukibyogakuchokakutokeibushikkangaku)
Journal Title;Practica Otologica (Kyoto)
Journal Code:G0710A
ISSN:0032-6313
VOL.97;NO.4;PAGE.319-323(2004)
Figure&Table&Reference;FIG.6, REF.17
Pub. Country;Japan
Language;Japanese
Abstract;We report the case of a child patient with blood boil of the maxillary sinus. The patient, a 10-year-old female, visited our clinic suffering from right nasal obstruction and bleeding. Due to considerable loss, she had received a blood transfusion prior to her visit to our clinic, and required definite diagnosis and intensive treatment. A computed tomography scan and magnetic resonance imaging showed the presence of a large mass with heterogeneous enhancement occupying the entire right maxillary sinus. At first, a endoscopic nasal surgery was performed for histological diagnosis as well as tumor extirpation. However, extirpation of the entire tumor could not be completed due to increased nasal bleeding. Tumor extirpation by trans-maxillary approach was thus performed, and a hematoma-like mass occupying the maxillary sinus was totally removed. The mass lesion was diagnosed as a so-called 'blood boil' by the histopathological examination, local findings during the operation, and clinical procedures. No recurrence has been observed to date. (author abst.)