Document Detail

Diaphragmatic rupture due to violent cough during tracheostomy.
MedLine Citation:
PMID:  19423248     Owner:  NLM     Status:  MEDLINE    
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.
Hiroshi Nakanishi; Satoshi Iwasaki; Yasuhiro Ohkawa; Hideo Nakazawa; Hiroyuki Mineta
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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.
Department of Otolaryngology, Hamamatsu University School of Medicine, Handayama, and Hamamatsu Red Cross Hospital, Hamamatsu, Japan.
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MeSH Terms
Cough / complications*
Diaphragm / physiopathology*,  radiography,  surgery
Intraoperative Complications*
Radiography, Thoracic
Rupture, Spontaneous* / diagnosis,  etiology,  physiopathology
Tomography, X-Ray Computed
Tracheostomy / methods*

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