Familial hypercholesterolemia with bilateral cholesterol granuloma: A case series
7th International Conference on Otolaryngology: ENT Surgery
September 05-06, 2019 | London, UK
Nouf Albakheet, Yazeed Al-shawi, Mohammed Bafaqeeh, Hanadi Fatani, Yasser Orz and Ibrahim Shami
King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia
Posters & Accepted Abstracts : Otolaryngology online
Abstract:
Introduction: Cholesterol granuloma is a benign mass that
commonly involves the petrous apex but rarely affects
other structures, such as the mastoid cavity. It is diagnosed
histologically by the presence of giant cells, and Its
management is individualized based on some factors such as
the size and location of the lesion.
Presentation of case: The first case was a 33-year-old man
who presented to the outpatient clinic with a two-year history
of right-sided pulsatile tinnitus, hearing loss, and vertigo. Upon
investigations, a large, destructive mass in the tympanomastoid
region was found and managed medically and surgically.
The other case was for a 41-year-old man who presented
to the emergency department with loss of consciousness.
Urgent CT was done and revealed an aggressive hypodense
posterior fossa mass destroying the right temporal bone that
was managed medically and surgically. For both cases, it has
been proven through histopathology that the lesions were
cholesterol granuloma.
Discussion: In this report, we describe two patients with
familial hypercholesterolemia who developed bilateral
cholesterol granuloma that were managed medically and
surgically.
Conclusion: These cases are reported because of their
rare location and presentation since few cases of bilateral
cholesterol granuloma have been reported in the literature.
Biography:
Nouf Albakheet is a medical intern in King Saud bin Abdulaziz University for Health Sciences. She has a strong interest in otorhinolaryngology specialty, and she has done multiple researches in this field and have published this case series and the others are on the process of submission.
E-mail: nouf.albakheet@gmail.com
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