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Komplikation bei der Operation eines invertierten Papilloms

Letale intrakranielle Verletzung der A. carotis interna

Complications during surgery of inverted papilloma

Fatal intracranial injury of the internal carotid artery

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Zusammenfassung

Invertierte Papillome sind primär benigne Tumoren der Nasennebenhöhlen. Aufgrund des lokal destruktiven Wachstums und der Tendenz zur malignen Entartung ist eine vollständige chirurgische Revision notwendig. Die Verletzung der A. carotis interna ist eine bekannte Komplikation der Nasennebenhöhlenchirurgie. Der Fall einer letalen Arterienverletzung während einer endoskopischen Nebennebenhöhlenoperation einer 77 Jahre alten Frau, die letztlich an den Folgen einer subduralen Blutung verstarb, wird vorgestellt und diskutiert.

Abstract

Inverted papilloma is a primary benign neoplasm of the parananasal sinus. Complete surgical removal is the therapy of choice due to local destruction and the risk of malignant transformation. Internal carotid artery trauma is a rare complication of paranasal sinus surgery. A case of a fatal arterial hemorrhage during endoscopic sinus surgery in a 77-year-old woman which resulted in a subdural hemorrhage is presented and discussed.

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Authors and Affiliations

  1. Institut für Rechtsmedizin, Universitätsklinikum Bonn, Stiftsplatz 12, 53111, Bonn, Deutschland

    E. Doberentz, L. Hagemeier, B. Madea & E. Lignitz

  2. Institut für Pathologie, Universitätsklinikum Bonn, Bonn, Deutschland

    H. Zhou

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  1. E. Doberentz
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  2. L. Hagemeier
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  3. H. Zhou
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  4. B. Madea
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  5. E. Lignitz
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Correspondence to E. Doberentz.

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Doberentz, E., Hagemeier, L., Zhou, H. et al. Komplikation bei der Operation eines invertierten Papilloms. Rechtsmedizin 21, 549–553 (2011). https://doi.org/10.1007/s00194-011-0782-9

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