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.

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 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.

scholarly journals Delayed onset postoperative retropharyngeal hematoma after anterior cervical surgery with a sequela of tracheal stricture: a case report

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Dong-Gune Chang ◽  
Jong-Beom Park ◽  
Hong Jin Kim ◽  
Soo-Bin Park
Keyword(s):  
Endotracheal Intubation ◽  
Lateral Displacement ◽  
Airway Compromise ◽  
Hematoma Evacuation ◽  
Delayed Onset ◽  
First Case ◽  
Cervical Surgery ◽  
Retropharyngeal Hematoma ◽  
Anterior Cervical Surgery ◽  
Tracheal Stricture

Abstract Background Among the several complications associated with anterior cervical discectomy and fusion (ACDF), airway compromise is considered one of the serious life-threatening conditions and usually requires emergent treatment, including airway establishment and hematoma evacuation surgery. Postoperative retropharyngeal hematoma commonly occurred during the on immediate phase with airway compromise, but have a rarity on late onset of this complication. Enlightened by this existing fact, we report the first case of delayed onset postoperative retropharyngeal hematoma after anterior cervical surgery with a sequela of tracheal stricture. Case presentation A 55-year-old male underwent ACDF for disc herniation at C5–6 that had not responded to conservative treatment over 3 months. The symptoms significantly improved after surgery, and he was discharged on postoperative day 3. On the 7 days after ACDF, the patient complained of sudden-onset left-deviated neck swelling. The follow-up plain radiographs and neck-enhanced computed tomography (CT) scans showed anterior and right lateral displacement of the airway including the trachea by a large retropharyngeal hematoma. We performed an emergent forceful endotracheal intubation that was maintained for 2 days until the patient underwent hematoma evacuation surgery. On the second day after hematoma evacuation surgery, the patient complained of hoarseness with a foul breath odor. Laryngoscopy showed tracheal ischemic mucosal damage that had been induced by forceful endotracheal intubation. Antibiotics and systemic corticosteroids were administered, and the symptoms improved. One month after hematoma evacuation surgery, he complained of dyspnea on exertion, and laryngoscopy showed tracheal stricture. The patient underwent bronchoscopic dilatation and is doing well without recurrence of symptoms. Conclusions Early surgery to remove the delayed onset retropharyngeal hematoma, rather than forceful endotracheal intubation followed by delayed surgery, might yield better results and avoid unexpected complications of tracheal stricture.

scholarly journals Delayed Onset Postoperative Retropharyngeal Hematoma After Anterior Cervical Surgery With a Sequela of Tracheal Stricture: a Case Report

2021 ◽  
Author(s):  
Dong-Gune Chang ◽  
Jong-Beom Park ◽  
Zin Ouk Hwang ◽  
Hong Jin Kim
Keyword(s):  
Endotracheal Intubation ◽  
Lateral Displacement ◽  
Airway Compromise ◽  
Hematoma Evacuation ◽  
Delayed Onset ◽  
First Case ◽  
Cervical Surgery ◽  
Retropharyngeal Hematoma ◽  
Anterior Cervical Surgery ◽  
Tracheal Stricture

Abstract Background: Among the several complications associated with anterior cervical discectomy and fusion (ACDF), airway compromise is considered one of the serious life-threatening conditions and usually requires emergent treatment, including airway establishment and hematoma evacuation surgery. Postoperative retropharyngeal hematoma commonly occurred during the on immediate phase with airway compromise but have a rarity on late onset of this complication. Enlightened by this existing fact, we report the first case of delayed onset postoperative retropharyngeal hematoma after anterior cervical surgery with a sequela of tracheal stricture. Case presentation: A 55-year-old male underwent ACDF for disc herniation at C5-6 that had not responded to conservative treatment over three months. The symptoms significantly improved after surgery, and he was discharged on postoperative day 3. On the seven days after ACDF, the patient complained of sudden onset left-deviated neck swelling. The follow-up plain radiographs and neck-enhanced computed tomography (CT) scans showed anterior and right lateral displacement of the airway including the trachea by a large retropharyngeal hematoma. We performed an emergent forceful endotracheal intubation that was maintained for two days until the patient underwent hematoma evacuation surgery. On the second day after hematoma evacuation surgery, the patient complained of hoarseness with a foul breath odor. Laryngoscopy showed tracheal ischemic mucosal damage that had been induced by forceful endotracheal intubation. Antibiotics and systemic corticosteroids were administered, and the symptoms improved. One month after hematoma evacuation surgery, he complained of dyspnea on exertion, and laryngoscopy showed tracheal stricture. The patient underwent bronchoscopic dilatation and is doing well without recurrence of symptoms. Conclusions: Early surgery to remove the delayed onset retropharyngeal hematoma, rather than forceful endotracheal intubation followed by delayed surgery, might yield better results and avoid unexpected complications of tracheal stricture.

CT features of blunt abdominal aortic injury: an infrequent but life-threatening event

2021 ◽  
Author(s):  
Eva Prado ◽  
Elena M. Chamorro ◽  
Alejandro Marín ◽  
Carlos G. Fuentes ◽  
Zhao Chen Zhou
Keyword(s):  
Aortic Injury ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Life Threatening Event ◽  
Ct Features

scholarly journals Consequences of antepartum hemorrhage and its maternal and perinatal outcome

2019 ◽  
Vol 8 (4) ◽  
pp. 1480
Author(s):  
Himang Jharaik ◽  
Bishan Dhiman ◽  
S. K. Verma ◽  
Aditi Sharma
Keyword(s):  
Perinatal Outcome ◽  
Placenta Previa ◽  
Developed Countries ◽  
Perinatal Morbidity ◽  
Antepartum Haemorrhage ◽  
High Risk Factors ◽  
Fetal Complications ◽  
Life Threatening ◽  
One Year ◽  
Life Threatening Event

Background: Antepartum haemorrhage, a life-threatening event, is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, considered to be 20 weeks in developed countries and 28 weeks in countries with low resource settings. We evaluated the consequences of antepartum haemorrhage, their maternal and perinatal outcome so as to outline the proper management of patient in order to improve both maternal and perinatal morbidity and mortality.Methods: This one-year prospective study totaled 133 cases of APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing.Results: Total 6693 deliveries were conducted out of which 133 presented as APH and incidence of APH was found out to be 1.98%. Placenta previa was most common. APH was commonly associated with multigravida and most cases were in age group of 26-30 years. Most of the PP and abruption cases were admitted at 34-37 weeks and 31-33 weeks respectively. High risk factors included previous LSCS and D and C, hypertension, multiple pregnancies and malpresentations. Most of the patients underwent preterm LSCS. Most fetal complications were due to prematurity. 58.6% patients were transfused blood. Overall perinatal mortality was 20.1% and maternal mortality was zero.Conclusions: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility goes a long way in avoiding APH related maternak and fetal complications.

scholarly journals Usefulness of Airway Evaluation in Infants Initially Seen With an Apparent Life-Threatening Event

2011 ◽  
Vol 137 (4) ◽  
pp. 359 ◽  
Author(s):  
Mark W. Willis ◽  
Joshua L. Bonkowsky ◽  
Rajendu Srivastava ◽  
J. Fredrik Grimmer
Keyword(s):  
Life Threatening ◽  
Life Threatening Event

scholarly journals B-PO04-206 A MISSED OPPORTUNITY FOR TIMELY INTERVENTION TO PREVENT A LIFE-THREATENING EVENT

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S362-S363
Author(s):  
Mohsin Khan ◽  
Vikram Nangia ◽  
Tabitha Cumpian ◽  
M. Eyman Mortada ◽  
Mohamed Djelmami-Hani ◽  
...  
Keyword(s):  
Life Threatening ◽  
Life Threatening Event ◽  
Missed Opportunity

Pituitary apoplexy following endoscopic sinus surgery

2009 ◽  
Vol 124 (6) ◽  
pp. 677-679 ◽  
Author(s):  
G Fyrmpas ◽  
J Constantinidis ◽  
N Foroglou ◽  
P Selviaridis
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Pituitary Apoplexy ◽  
Symptomatic Improvement ◽  
Sinus Surgery ◽  
Effective Technique ◽  
Pituitary Fossa ◽  
Middle Meatal Antrostomy ◽  
Risk Patients ◽  
Life Threatening ◽  
Life Threatening Event

AbstractObjective:To highlight the possibility of pituitary apoplexy after functional endoscopic sinus surgery for elimination of sinonasal infection, an important preparatory step for safe trans-sphenoidal access to the pituitary fossa.Case report:A 67-year-old man with a known pituitary macroadenoma developed headache, diplopia and reduced vision after endoscopic middle meatal antrostomy and ethmoidectomy for rhinosinusitis with polyps. Magnetic resonance imaging showed pituitary haemorrhage. The patient underwent emergency endoscopic trans-sphenoidal resection of the tumour, with significant symptomatic improvement. Despite mild right eyelid ptosis and persistent diabetes insipidus, the patient resumed normal activities in a few weeks. To our knowledge, this is the first report of pituitary apoplexy after a nasal operation.Conclusion:Pituitary apoplexy is a rare and potentially life-threatening event in high risk patients with pituitary adenomas; it may occur spontaneously or after surgical procedures. Early, combined surgical intervention by rhinologists and neurosurgeons is recommended. The endoscopic trans-sphenoidal approach is a safe and effective technique for the acute management of pituitary apoplexy.

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