Document Detail


Diaphragmatic rupture due to violent cough during tracheostomy.
MedLine Citation:
PMID:  19423248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present herein a rare case of diaphragmatic rupture due to violent coughing during tracheostomy. A 73-year-old man was admitted with cough, hoarseness and dysphagia caused by a huge laryngeal cancer obstructing the airways. Immediate emergency tracheostomy was performed, during which he experienced violent paroxysmal coughing, and he began to complain of right upper abdominal discomfort after tracheostomy. Chest radiography and computed tomography 4 days later showed right diaphragmatic rupture, through which small bowel loops had herniated into the right hemithorax. Diaphragmatic rupture with a 20-cm long fresh oblique tear was repaired through subsequent surgical treatment. Violent paroxysmal coughing during tracheostomy was considered likely to have caused this rare complication.
Authors:
Hiroshi Nakanishi; Satoshi Iwasaki; Yasuhiro Ohkawa; Hideo Nakazawa; Hiroyuki Mineta
Related Documents :
3993888 - Ludwig's angina. the anaesthetic management of nine cases.
16281438 - Management of the chronically ventilated patient with a tracheostomy.
15630388 - Overnight hospital stay is not always necessary after uvulopalatopharyngoplasty.
1434728 - Subglottic tracheal resection and synchronous laryngeal reconstruction.
12235538 - Pitfall in insertion of suprapubic catheter in patients with spinal cord injuries.
15767058 - Fishing-related ocular trauma.
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-06
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  37     ISSN:  1879-1476     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-03-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  121-4     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Otolaryngology, Hamamatsu University School of Medicine, Handayama, and Hamamatsu Red Cross Hospital, Hamamatsu, Japan. hiro-na@hama-med.ac.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Cough / complications*
Diaphragm / physiopathology*,  radiography,  surgery
Humans
Intraoperative Complications*
Male
Radiography, Thoracic
Rupture, Spontaneous* / diagnosis,  etiology,  physiopathology
Tomography, X-Ray Computed
Tracheostomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Loss of olfactory function after exposure to barbituric acid.
Next Document:  A rare case of cholesterol granuloma in the thyroid without an abnormality of lipid metabolism.