Asphyxia caused by delayed subglottic stenosis after neck trauma
| Autor: | Feng Chen, Yueyao Shen, Youjia Yu, Kai Li, Peng Chen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Subglottic stenosis Poison control Autopsy Constriction Pathologic Pathology and Forensic Medicine Cricoid Cartilage Asphyxia Cricoid cartilage medicine Humans Coma business.industry Laryngostenosis General Medicine medicine.disease Surgery Tracheal Stenosis Stenosis medicine.anatomical_structure Female medicine.symptom business |
| Zdroj: | Forensic science, medicine, and pathology. 17(3) |
| ISSN: | 1556-2891 |
| Popis: | Delayed subglottic stenosis (SGS) is an unusual complication. Here, we report a particular case of delayed SGS. A 17-year-old female suffered extensive injuries including severe neck trauma in a car accident, and complained of dyspnea after 30 days. Tracheal stenosis was observed by fiber optic bronchoscopy, but no specific treatment was administered to the patient. While being transferred to a tertiary hospital 3 days later, the patient fell into deep coma due to hypoxia, and died of hypoxic-ischemic encephalopathy and severe pulmonary infection in the intensive care unit (ICU) 58 days later. Postmortem autopsy and pathological investigation revealed tracheal stenosis 3.0 cm below the vocal cords with a diameter of 0.5 cm, which was caused by a cricoid cartilage fracture, fibrous tissue proliferation and inflammatory cell infiltration. We believed that external forces caused the cricoid fracture and mucosal damage, and after a month of fibrous repair, scar tissue formed the stenosis and caused her death. This report describes a rare condition in which slowly progressive intralaryngeal stenosis formation after external neck trauma could cause asphyxial death in a previously asymptomatic adult. |
| Databáze: | OpenAIRE |
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