Retropharyngeal Hematoma Secondary to Minor Blunt Neck Trauma: Case Report
| Autor: | Ahmet Can Senel, Abdulkadir Gunduz |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
INTUBAÇÃO TRAQUEAL INTUBACIÓN INTRATRAQUEAL Wounds Nonpenetrating Neck Injuries Dispneia Injury Severity Score Hematoma Blunt Intubation Intratracheal Humans Medicine Retropharyngeal space Ferimentos e lesões Aged 80 and over COMPLICACIONES Hematoma business.industry Pharynx Pharyngeal Diseases Obstrução das Vias Respiratórias Airway obstruction medicine.disease Surgery Dyspnea Anesthesiology and Pain Medicine medicine.anatomical_structure COMPLICAÇÕES Hematoma Blunt trauma Female Disneia business Airway Heridas y lesiones Obstrucción de las vías aéreas |
| Zdroj: | Brazilian Journal of Anesthesiology. 62:731-735 |
| ISSN: | 0034-7094 |
| DOI: | 10.1016/s0034-7094(12)70171-x |
| Popis: | Summary Background and objectives The development of a retropharyngeal hematoma following a blunt trauma is a rare occurrence. However, a space-occupying lesion in this area can be life-threatening and requires rapid assessment and treatment. This is clinically important because of the close proximity of the retropharyngeal space to the upper airway. Any swelling in the the posterior pharyngeal space may prompt it to bulge anteriorly into the airway and cause its obstruction. Case Report A 86-year-old woman fell from a height of 1.5 m and hit her neck on stairs and was admitted to our trauma department. A computerized tomography scan and a lateral neck x-ray to observe the soft tissue revealed a large retropharyngeal mass extending from the base of the skull down to the level of the lung. The patient was kept under observation and the hematoma reduced spontaneously in the following seven days although the patient died on the tenth day from pulmonary infection. The report emphasizes that early drainage of a retropharyngeal hematoma should be considered in similar cases. Although rarely encountered, retropharyngeal hematoma is a problem that can be faced in an emergency department. |
| Databáze: | OpenAIRE |
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