Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature

Background: Salivary gland anlage tumor (SGAT) is a rare but benign tumor of the nasopharynx that most commonly presents with symptoms of obstruction, including severe respiratory distress. There are multiple reports of SGAT in the literature proposing it as an important differential diagnosis of na...

Full description

Bibliographic Details
Main Authors: Seyed Hossein Saadat, Ali Atash Ab Parvar, Fatemeh Kheiry
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2022-01-01
Series:Iranian Journal of Neonatology
Subjects:
Online Access:https://ijn.mums.ac.ir/article_19572_51b10ce43832fbb7bbd181d7cf32195b.pdf
_version_ 1819279549838393344
author Seyed Hossein Saadat
Ali Atash Ab Parvar
Fatemeh Kheiry
author_facet Seyed Hossein Saadat
Ali Atash Ab Parvar
Fatemeh Kheiry
author_sort Seyed Hossein Saadat
collection DOAJ
description Background: Salivary gland anlage tumor (SGAT) is a rare but benign tumor of the nasopharynx that most commonly presents with symptoms of obstruction, including severe respiratory distress. There are multiple reports of SGAT in the literature proposing it as an important differential diagnosis of nasal obstruction in the early weeks of life. However, primary manifestations other than respiratory distress have not been reported with SGAT. Case report: An18-hour-old neonate presented with feeding intolerance and coffee ground vomiting since the 6thhour of birth and was admitted to the neonatal intensive care unit. An orogastric tube was inserted for irrigation, and secretions were persistently bloody after 24 hours. At the 36th hour of birth, mild subcostal retraction developed with a slight increase in the respiratory rate as well as bloody secretions from the nose.  At the 48th hour, subcostal retraction became severe accompanied by tachypnea. All symptoms resolved completely within 2 hours of spontaneous vomiting containing a polypoid mass. Conclusion: The SGAT should be considered a differential diagnosis of nasopharyngeal obstruction in the early weeks of life.
first_indexed 2024-12-24T00:29:41Z
format Article
id doaj.art-ab1d4035dd6c49188bbf8ad9ab95a0ae
institution Directory Open Access Journal
issn 2251-7510
2322-2158
language English
last_indexed 2024-12-24T00:29:41Z
publishDate 2022-01-01
publisher Mashhad University of Medical Sciences
record_format Article
series Iranian Journal of Neonatology
spelling doaj.art-ab1d4035dd6c49188bbf8ad9ab95a0ae2022-12-21T17:24:19ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582022-01-01131677010.22038/ijn.2022.54503.201319572Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the LiteratureSeyed Hossein Saadat0Ali Atash Ab Parvar1Fatemeh Kheiry2Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, IranEndocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IranStudent Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranBackground: Salivary gland anlage tumor (SGAT) is a rare but benign tumor of the nasopharynx that most commonly presents with symptoms of obstruction, including severe respiratory distress. There are multiple reports of SGAT in the literature proposing it as an important differential diagnosis of nasal obstruction in the early weeks of life. However, primary manifestations other than respiratory distress have not been reported with SGAT. Case report: An18-hour-old neonate presented with feeding intolerance and coffee ground vomiting since the 6thhour of birth and was admitted to the neonatal intensive care unit. An orogastric tube was inserted for irrigation, and secretions were persistently bloody after 24 hours. At the 36th hour of birth, mild subcostal retraction developed with a slight increase in the respiratory rate as well as bloody secretions from the nose.  At the 48th hour, subcostal retraction became severe accompanied by tachypnea. All symptoms resolved completely within 2 hours of spontaneous vomiting containing a polypoid mass. Conclusion: The SGAT should be considered a differential diagnosis of nasopharyngeal obstruction in the early weeks of life.https://ijn.mums.ac.ir/article_19572_51b10ce43832fbb7bbd181d7cf32195b.pdfcase reportnasal obstructionoropharynxrespiratory distresssalivary gland anlage tumor
spellingShingle Seyed Hossein Saadat
Ali Atash Ab Parvar
Fatemeh Kheiry
Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature
Iranian Journal of Neonatology
case report
nasal obstruction
oropharynx
respiratory distress
salivary gland anlage tumor
title Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature
title_full Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature
title_fullStr Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature
title_full_unstemmed Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature
title_short Coffee Ground Vomiting as the First Presentation of Salivary Gland Anlage Tumor: A Case Report and Review of the Literature
title_sort coffee ground vomiting as the first presentation of salivary gland anlage tumor a case report and review of the literature
topic case report
nasal obstruction
oropharynx
respiratory distress
salivary gland anlage tumor
url https://ijn.mums.ac.ir/article_19572_51b10ce43832fbb7bbd181d7cf32195b.pdf
work_keys_str_mv AT seyedhosseinsaadat coffeegroundvomitingasthefirstpresentationofsalivaryglandanlagetumoracasereportandreviewoftheliterature
AT aliatashabparvar coffeegroundvomitingasthefirstpresentationofsalivaryglandanlagetumoracasereportandreviewoftheliterature
AT fatemehkheiry coffeegroundvomitingasthefirstpresentationofsalivaryglandanlagetumoracasereportandreviewoftheliterature