Hiccup, a diagnostic challenge

Hiccup is a spasmodic involuntary contraction of the diaphragm which triggers a sudden inspiration and an abrupt closure of the glottis with a characteristic sound. Regarding its duration, it is classified as hiccup attack, persistent hiccup or rebellious or intractable hiccup. We present the case o...

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Veröffentlicht in:Medicina (Buenos Aires) 2014, Vol.74 (1), p.57-59
Hauptverfasser: Pankl, Sonia, Quezel, Mariano A, Bruetman, Julio E, Finn, Bárbara C, Young, Pablo
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container_issue 1
container_start_page 57
container_title Medicina (Buenos Aires)
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creator Pankl, Sonia
Quezel, Mariano A
Bruetman, Julio E
Finn, Bárbara C
Young, Pablo
description Hiccup is a spasmodic involuntary contraction of the diaphragm which triggers a sudden inspiration and an abrupt closure of the glottis with a characteristic sound. Regarding its duration, it is classified as hiccup attack, persistent hiccup or rebellious or intractable hiccup. We present the case of a 75 old male with rebellious hiccup which prevented him to fall asleep by day or by night, associated with belches lasting for three years, refractory to chlorpromazine. An extensive evaluation led to the diagnosis of right ethmoid sinus tumor. The tumor resection was performed and after subsequent local radiotherapy the hiccup disappeared. We consider this a rare cause of rebellious hiccup that generated a diagnostic and therapeutic challenge.
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subjects Aged
Carcinoma, Squamous Cell - complications
Ethmoid Sinus
Hiccup - etiology
Humans
Male
Paranasal Sinus Neoplasms - complications
title Hiccup, a diagnostic challenge
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