Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child

Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child

A.Chaouki, A.Ballage, M.Beghdad , A.Mkhatri, R.Abada, S.Rouadi,M.Roubal ,M.Mahtar.

Department of ENT, University Hospital Centre IBN ROCHD, North Africa

International-Journal-of-Case-Reports-2d code

Glomangiopericytoma is defined as a sinonasal tumor with perivascular myoid phenotype, which was first described in 1942 by Stout and Murray as a soft tissue tumor with characteristic proliferation including branching vessels and small vessel perivascular hyalinization. A 47-year-women presented with two years history of permanent left nasal obstruction and frequent epistaxis , without anosmia or any other sinonasal symptoms Rhinoscopy was done which revealed a friable grayish pink polypoidal mass, fully occupying the left anterior naris. the right nasal cavity was free . Computed tomography showed a lesion involving the left nasal cavity, with a soft tissue density (70 UH) consisting of about 50*16 mm , widely infiltrative (left nasal turbinates , uncinate process , left half of nasopharynx and palatine bone ) , with a posterior left ethmoidal sinus mucosal thickening and without any bony destruction .Microscopic examination of the biopsy showed subepithelial tissue showed the lobular arrangement of spindle-shaped cells admixed with vascular channels of variable size, The differential diagnosis of hemangiopericytoma and solitary fibrous tumor (SFT) , The staining of STAT 6 immunohistochemistry (IHC) was heterogeneous confirmed the solitary fibrous tumor . Endoscopic surgery was performed to remove the mass , considering the size, limited expansion and the accessible location of the tumor.

Keywords: Subclinical chronic sinusitis, Presumed ventriculoperitoneal shunt sepsis, Child

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How to cite this article:
A.Chaouki, A.Ballage, M.Beghdad , A.Mkhatri, R.Abada, S.Rouadi,M.Roubal,M.Mahtar.Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child . Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child. International Journal of Case Reports, 2019 4:58. DOI: 10.28933/ijcr-2018-12-1406


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