Massive Retropharyngeal Hematoma with Airway Obstruction after Minor Injury

2017 ◽  
Vol 14 (02/03) ◽  
pp. 095-097
Author(s):  
Shivender Sobti ◽  
Sarvpreet Grewal ◽  
Paul John ◽  
Ashwani Grover
Keyword(s):  
Airway Obstruction ◽  
Airway Compromise ◽  
Minor Injury ◽  
Life Threatening ◽  
Retropharyngeal Hematoma

AbstractRetropharyngeal hematoma can cause life-threatening airway compromise. We present a case of massive retropharyngeal hematoma following minor injury. The patient required immediate tracheostomy followed by evacuation of hematoma and cervical stabilization.

scholarly journals Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
David P. Betten ◽  
Jennifer L. Jaquint
Keyword(s):  
Symptom Onset ◽  
Elderly Woman ◽  
Antiplatelet Agents ◽  
Airway Compromise ◽  
Delayed Onset ◽  
Life Threatening ◽  
Retropharyngeal Hematoma ◽  
Life Threatening Event

The development of a retropharyngeal hematoma may lead to acute airway compromise requiring emergent airway stabilization. We describe the development of a retropharyngeal hematoma in an elderly woman who sustained a fall from standing approximately 10 hours prior to symptom onset who was taking the antiplatelet agents clopidogrel and aspirin. This delayed onset of rapid airway compromise secondary to a retropharyngeal hematoma following a fall in a patient taking clopidogrel is an unusual and potentially life threatening event.

scholarly journals Life-Threatening Retropharyngeal Hemorrhage Secondary to Rupture of the Inferior Thyroid Artery

2015 ◽  
Vol 2015 ◽  
pp. 1-2 ◽  
Author(s):  
Cristina G. Calogero ◽  
Andrew C. Miller ◽  
Marna Rayl Greenberg
Keyword(s):  
Diagnostic Testing ◽  
Arterial Embolization ◽  
Inferior Thyroid Artery ◽  
Airway Compromise ◽  
Neck Swelling ◽  
Anterior Neck ◽  
Life Saving ◽  
Thyrocervical Trunk ◽  
Life Threatening ◽  
Retropharyngeal Hematoma

Inferior thyroid artery (ITA) rupture is rare and may progress to life-threatening conditions. We present a patient who visited the emergency department after an episode of syncope and dizziness in which he had a mechanical fall that resulted in abrasions and a hematoma to his left forehead. The patient presented with dysphagia and anterior neck swelling that progressed rapidly into airway compromise requiring endotracheal intubation. Emergent computed tomography revealed a large retropharyngeal hematoma, with active arterial extravasation that was thought to be arising from the thyrocervical trunk on the left. The hematoma measured approximately 6.7 cm transversely and 3.2 cm anteroposteriorly and extended from the level of the lower nasopharynx, down the neck into the retropharyngeal and danger space and into the mediastinum posterior to the esophagus, overall approximately 25 cm. The larynx was deviated anteriorly and there was esophageal compression. An emergent arteriogram and catheterization confirmed bleeding from branches of the ITA, and successful embolization was performed. It is important to recognize the ITA rupture as a potential etiology of an acute airway compromise. In emergent situations, while securing an airway is a priority, rapidly initiating diagnostic testing to confirm the diagnosis and arranging for arterial embolization can be life-saving.

Hemorrhagic Thymopharyngeal Duct Cyst Causing Airway Obstruction in an Infant

2002 ◽  
Vol 127 (5) ◽  
pp. 467-469 ◽  
Author(s):  
Thomas R. Lowry ◽  
Timothy J. O'Hare
Keyword(s):  
Airway Obstruction ◽  
Current Literature ◽  
Thymus Gland ◽  
Airway Compromise ◽  
Thymic Tissue ◽  
Duct Cyst ◽  
Life Threatening ◽  
Gland Development

Normal thymus gland development and descent most commonly lead to its anterior mediastinal location directly behind the manubrium of the sternum. However, congenital cervical thymic anomalies, which include thymic and thymopharyngeal duct cysts, may occur as a consequence of an arrest in descent, failure of involution, or as a sequestration of thymic tissue during descent. 4 These anomalies, although usually asymptomatic, may present with airway compromise in up to 7% of patients. 1 Current literature demonstrates increasing numbers of these potentially life-threatening lesions presenting in children under 2 years of age, with early misdiagnosis being a shared finding. We describe the case of a 2-month-old infant who developed life-threatening airway obstruction secondary to a rapidly enlarging hemorrhagic thymopharyngeal duct cyst.

A dangerous cause of airway obstruction: deep neck infection

2020 ◽  
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Deep Neck Infection ◽  
Jugular Vein Thrombosis ◽  
Neck Infection ◽  
Vein Thrombosis ◽  
Lethal Complications ◽  
Life Threatening ◽  
Fascial Spaces ◽  
Emergency Doctors

Deep neck infection (DNI) is an infection in the fascial spaces of the neck. Complications of DNI, including mediastinitis, internal jugular vein thrombosis, and upper airway obstruction, are severe and potentially life threatening. Therefore, early identification and accurate management of DNI are essential. We review the anatomy of the deep spaces of the neck to determine the route of DNI spread so that emergency doctors, physicians, and otorhinolaryngologists can quickly recognize the development of lethal complications of DNI, such as asphyxia from airway obstruction.

Burkitt lymphoma of the nasopharynx causing life-threatening airway obstruction: A case report

2021 ◽  
Vol 42 (4) ◽  
pp. 102977
Author(s):  
Alexander N. Goel ◽  
Andrey Filimonov ◽  
Julie Teruya-Feldstein ◽  
Christian Salib ◽  
Joseph J. Rousso ◽  
...  
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Burkitt Lymphoma ◽  
Life Threatening

scholarly journals Acute upper airway obstruction as a life-threatening complication of ventral bulla osteotomy: report of two consecutive cases

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692110059
Author(s):  
Michal Vlasin ◽  
Richard Artingstall ◽  
Barbora Mala
Keyword(s):  
Airway Obstruction ◽  
Clinical Signs ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Single Session ◽  
Inflammatory Polyp ◽  
Case Summary ◽  
First Case ◽  
Life Threatening

Case summary This paper presents two cases of acute postoperative upper airway obstruction following ventral bulla osteotomy (VBO) in cats. The first cat underwent a unilateral left-sided VBO for a suspected inflammatory polyp. The second cat underwent a single-session bilateral VBO procedure for bilateral otitis media. In the first case, immediate re-intubation and a gradual lightening of the anaesthetic plane resolved the clinical signs; in the second case, the patient deteriorated and went into acute cardiorespiratory arrest and received cardiopulmonary resuscitation. Both patients recovered well and were discharged home 3 days after surgery. Both cases were reported to show no further clinical signs on postoperative follow-up 3 weeks and 4 months after surgery, respectively. Relevance and novel information Upper airway obstruction should be regarded as a potential complication of VBO in cats.

Use of Single-Cannula Venous-Venous Extracorporeal Life Support in the Management of Life-Threatening Airway Obstruction

2015 ◽  
Vol 99 (3) ◽  
pp. e63-e65 ◽  
Author(s):  
Michael Ko ◽  
Pedro R. dos Santos ◽  
Tiago N. Machuca ◽  
Katherine Marseu ◽  
Thomas K. Waddell ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Life Threatening

Treatment of Infantile Subglottic Hemangioma with Radioactive Gold Grain

1978 ◽  
Vol 87 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Bruce Benjamin
Keyword(s):  
Radiation Therapy ◽  
Thyroid Gland ◽  
Mortality Rate ◽  
Airway Obstruction ◽  
Active Treatment ◽  
Malignant Change ◽  
Conventional Radiotherapy ◽  
Life Threatening

Congenital subglottic hemangioma causes life-threatening airway obstruction during the first few months of life. The mortality rate of recognized and untreated cases justifies active treatment, and although radiation therapy is currently most favored, it carries a risk of inducing malignant change in the thyroid gland later in life. A series of 11 patients with laryngeal hemangiomata is reported, conventional radiotherapy was utilized in the first seven patients, and placement of a radioactive gold grain directly into the lesion was used in the last four patients. This technique offers maximal tumor dose with minimal thyroid gland irradiation compared to treatment by conventional radiotherapy, and its successful use in these four patients is reported as worthy of further trial.

scholarly journals Life–threatening Pulmonary Oedema Secondary to Tracheal Compression

2002 ◽  
Vol 30 (6) ◽  
pp. 804-806 ◽  
Author(s):  
H. Butterell ◽  
R. H. Riley
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Airway Obstruction ◽  
Pulmonary Oedema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Tracheal Compression ◽  
Negative Pressure Pulmonary Oedema ◽  
Life Threatening ◽  
Thyroid Goitre

We present a case of negative pressure pulmonary oedema due to an overlooked cause. A 45-year-old female patient presented to the emergency department unconscious with severe pulmonary oedema. Subsequent investigations revealed a thyroid goitre causing significant tracheal compression. This case report highlights an extremely rare but potentially dangerous sequela of upper airway obstruction.

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