What might have caused this isolated uvular edema? What treatment options would you consider?

August 1, 2011

What's your diagnosis? For hints and clues, click here.

(Case and photo courtesy of Reena Julka, MD)

Hints
• On day 2 of hospitalization for recurrent acute pancreatitis, this man awoke with dysphagia and a markedly swollen, pendulous uvula that had no discharge or exudates.

• He had been vomiting repeatedly for 3 days.

• He had no stridor, wheezing, or gagging. The airway was patent; the edema was strictly confined to a midline.

• The tonsils, peritonsillar region, soft palate, and tongue were normal.

For answers, click here.