Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

2021 ◽  
Vol 14 (3) ◽  
pp. e242061
Author(s):  
Kohei Okada ◽  
Yuji Okazaki ◽  
Toshihisa Ichiba ◽  
Yusuke Higashi
Keyword(s):  
Airway Obstruction ◽  
Sore Throat ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Airway Protection ◽  
Emergency Airway ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Life Threatening

Spontaneous pharyngeal haematoma is a rare but life-threatening cause of acute upper airway obstruction, and the clinical manifestation may mimic haemoptysis. A 65-year-old man presented to our emergency department with symptoms of sore throat and haemoptysis. He had no medical history. At arrival, O2 saturation was 95% on 5 L/min of oxygen with a mask. Results of a blood examination including a coagulation test were normal. Laryngoscopy showed enlargement of the left pharynx and a narrowed airway. Contrast-enhanced CT showed extravascular leakage of contrast medium inside the left pharyngeal haematoma. Fortunately, the haematoma did not lead to airway obstruction, and it decreased spontaneously. We finally diagnosed this case as spontaneous pharyngeal haematoma. When we examine a patient with a symptom of haemoptysis accompanied by sore throat, it is necessary to consider pharyngeal haematoma and to prepare emergency airway protection for acute upper airway obstruction.

Life-Threatening Upper Airway Obstruction After Glossopharyngeal Nerve Block

1998 ◽  
Vol 86 (3) ◽  
pp. 678
Author(s):  
Martin H. Sher ◽  
Donald I. Laing ◽  
Emile Brands
Keyword(s):  
Airway Obstruction ◽  
Nerve Block ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Glossopharyngeal Nerve ◽  
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.

scholarly journals Concurrent Negative-Pressure Pulmonary Edema (NPPE) and Takotsubo Syndrome (TTS) after Upper Airway Obstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Evan Harmon ◽  
Sebastian Estrada ◽  
Ryan J. Koene ◽  
Sula Mazimba ◽  
Younghoon Kwon
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Takotsubo Syndrome ◽  
Negative Pressure Pulmonary Edema ◽  
Acute Airway Obstruction ◽  
Increased Risk ◽  
Life Threatening

Upper airway obstruction is a potentially life-threatening emergency often encountered in the acute care, perioperative, and critical care settings. One important complication of acute obstruction is negative-pressure pulmonary edema (NPPE). We describe two cases of acute upper airway obstruction, both of which resulted in flash pulmonary edema complicated by acute hypoxic respiratory failure. Though NPPE was suspected, these patients were also found to have Takotsubo syndrome (TTS). Neither patient had prior cardiac disease, and both subsequently had a negative ischemic workup. Because TTS is a condition triggered by hyperadrenergic states, the acute airway obstruction alone or in combination with NPPE was the likely explanation for TTS in each case. These cases highlight the importance of also considering cardiogenic causes of pulmonary edema in the setting of upper airway obstruction, which we suspect generates a profound catecholamine surge and places patients at increased risk of TTS development.

Life-Threatening Upper Airway Obstruction Due to Isolated Hypermobile Tongue

2011 ◽  
Vol 22 (4) ◽  
pp. 1529-1531
Author(s):  
Abdullah Dalgic ◽  
Yusuf Hidir ◽  
A. Hakan Birkent ◽  
Abdullah Durmaz ◽  
Mustafa Gerek
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Life Threatening

scholarly journals Ruptured aneurysm of the hepatic artery: a mismatching diagnosis

2013 ◽  
pp. 175-178
Author(s):  
Vincenzo Bua ◽  
Lorenzo Marsigli ◽  
Roberto Nardi ◽  
Anna Maria Trivella ◽  
Salvatore Isceri ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Ct Scanning ◽  
Gelatin Sponge ◽  
Contrast Enhanced Ct ◽  
Life Saving ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Threatening Condition ◽  
Life Threatening ◽  
Intraabdominal Hemorrhage

Background: Hepatic aneurysms are extremely rare with very few cases reported, and most have been source of misdiagnosis and clinical pitfalls in emergency medicine. Presentation with intraabdominal hemorrhage is associated with a high mortality rate. Case report: We report the case of an adult male, referred for a severe acute pain in the left lower chest-upper quadrant abdomen pain. We present multislice contrast-enhanced CT-scanning and angiographic findings, and a life-saving emergency trancatheter embolization, using fragments of absorbable gelatin sponge. Emergency doctors should consider ruptured hepatic artery aneurysms in the differential diagnosis of acute abdominal pain and promptly cooperate with endovascular specialists to treat this life-threatening condition.

Life-threatening Upper Airway Obstruction after Tongue Base Surgery

2001 ◽  
Vol 94 (3) ◽  
pp. 532-534 ◽  
Author(s):  
Joseph W. Szokol ◽  
Barry L. Wenig ◽  
Glenn S. Murphy ◽  
Elizabeth Drezek
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Tongue Base ◽  
Life Threatening

Prenatal sonographic diagnosis of upper airway obstruction: a challenge that can be achieved

1996 ◽  
Vol 110 (6) ◽  
pp. 583-585 ◽  
Author(s):  
Noga Golan-Porat ◽  
Shlomo Lipitz ◽  
Moshe Porat ◽  
Reuwen Achiron
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Delivery Room ◽  
Sonographic Diagnosis ◽  
Adequate Ventilation ◽  
Life Threatening ◽  
Rare Malformation ◽  
Threatening Situation

AbstractCongenital upper airway obstruction presents a life-threatening situation when encountered in the delivery room. We present a case in which in utero diagnosis of this malformation was suspected, but unfortunately the neonate did not survive due to the inability to provide adequate ventilation. The prenatal sonographic features of this rare malformation are outlined, and the literature reviewed.

Kikuchi-Fujimoto disease and life-threatening upper airway obstruction

2015 ◽  
Vol 25 (8) ◽  
pp. 864-865
Author(s):  
Emanuele Rossetti ◽  
Linda Appierto ◽  
Roberto Bianchi ◽  
Sergio Picardo
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Life Threatening

scholarly journals Recurrent Midgut Bleeding due to Jejunal Angioleiomyoma

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Mahir Gachabayov ◽  
Petr Mityushin
Keyword(s):  
Smooth Muscle ◽  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Male Patient ◽  
Bowel Resection ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Life Threatening ◽  
Bowel Neoplasm

Angioleiomyoma being a type of true smooth muscle gastrointestinal tumors can lead to serious life-threatening gastrointestinal bleeding. We report a case of 21-year-old male patient with recurrent midgut bleeding. Contrast-enhanced CT revealed highly vascular small bowel neoplasm. The patient underwent laparotomy with bowel resection and recovered uneventfully. Histopathology revealed jejunal angioleiomyoma.

scholarly journals Upper Airway Obstruction in a Newborn with Vallecular Cyst

2015 ◽  
Vol 4 (4) ◽  
pp. 45
Author(s):  
Birgin Torer ◽  
Bilin Cetinkaya ◽  
Serkan Yılmaz ◽  
Cuneyt Yilmazer ◽  
Hande Gulcan
Keyword(s):  
Respiratory Distress ◽  
Airway Obstruction ◽  
Preterm Infant ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Life Threatening

Vallecular cyst is a rare cause of stridor in neonates, which may present as a life threatening airway obstruction. Here, we report a preterm infant with a congenital vallecular cyst who presented with stridor and respiratory distress that developed immediately after birth. She was successfully treated with endoscopic marsupialization.

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