Laryngeal papillomatosis (LP) is caused by the human papillomavirus (HPV), which obstructs the upper airways. Direct contact is the form of contagion, most frequent in adults, although it can appear from childhood and persist throughout life, including during childbirth.

Case study

LARYNGEAL PAPILLOMATOSIS: A NECROSURGERY CASE REPORT

How to cite: Guadalupe MS, Ivana PLD, Cesar CHJ, Beatriz PDR, Iván BRJ. Laryngeal papillomatosis: a necrosurgery case report. Persp Med Legal Pericia Med. 2023; 8: e230827

https://dx.doi.org/10.47005/230827

Submitted 05/13/2022
Accepted 10/08/2023

The authors inform there is no conflict of interest.

PAPILOMATOSIS LARINGEA: PRESENTACION DE UN CASO DE NECROCIRUGIA

Guadalup Melo Santiesteban (1)

https://orcid.org/0000-0003-0064-1038

Ivana Ponce de León Daza (2)

https://orcid.org/0000-0002-2652-6989

Julio Cesar P.Camacho Hernández (3)

https://orcid.org/0000-0002-8588-257X

Patricia Beatriz Denis Rodríguez (4)

https://orcid.org/0000-0002-8521-7705

Javier Ivan Baltazar Ramos (5)

https://orcid.org/0000-0002-5408-6693

(1) Universidad Veracruzana, Instituto de Medicina Forense, Patología forense, Boca del Rio, Veracruz, México, gmelo@uv.mx, (autor principal)

(2) Fiscalía General del Estado de Puebla, Departamento de medicina legal, Tecamachalco, Puebla, México, dra.beindaza@hotmail.com, (recolecta y tratamiento de datos)

(3) Fiscalía General del Estado de Puebla, Departamento de medicina legal, Tecamachalco, Puebla, México, pcamacho_med@yahoo.com.mx, (recolecta y tratamiento de datos)

(4) Universidad Veracruzana, Instituto de Medicina Forense, Boca del Rio Veracruz, México.  pdenis@uv.mx, (supervisor)  (5) Universidad Veracruzana, Instituto de Medicina Forense, Boca del Rio, Veracruz, México. jbaltazar@uv.mx, (redacción y autor de correspondencia

ABSTRACT

Introduction: Laryngeal papillomatosis (LP) is caused by the human papillomavirus (HPV), which obstructs the upper airways. Direct contact is the form of contagion, most frequent in adults, although it can appear from childhood and persist throughout life, including during childbirth. The larynx is the most affected and can present mild signs such as dysphonia, up to severe signs of Aerial obstruction. Case presentation: Patient is a 30-year-old female with a 37-week pregnancy, which began with symptoms of upper respiratory tract obstruction and later triggered death from anoxia caused by laryngeal papillomatosis. Discussion: the practice of necrosurgery leads to a teaching-learning process that generates knowledge for experts as well as for the students who participate in it, assisting in the pedagogical process. In the case presented, the pathophysiological outcome of a disease carries important information that may prevent future deaths, considering that the disease’s unimpeded evolution had dire consequences to the obstetric patient. Conclusions: With the presentation of this case, we intend to make necropsies visible as a formative element of enormous value for the student and experts in the medical and related areas, as well as value for science in general due to the contribution on pathology, epidemiology of diseases and pathophysiology.

Keywords: Anoxia, Autopsy, Larynx, Neoplasia, Papilloma, Virus.


Bibliographical references