Document Detail

Late presentation of tracheal rupture after thyroidectomy - a case report and literature review.
MedLine Citation:
PMID:  22297061     Owner:  NLM     Status:  Publisher    
Objective: To report an extremely rare case of delayed tracheal rupture following thyroidectomy, and to review existing literature.Methods: We present the history, clinical findings, radiographic evaluation, management, and intraoperative findings in a patient that presented with subcutaneous emphysema nine days following total thyroidectomy. We review the literature and discuss the diagnostic challenges as well as management options.Results: A 17-year-old female underwent an uneventful total thyroidectomy for Grave's disease. On postoperative day nine the patient presented with face and neck swelling due to subcutaneous emphysema. After conservative management failed, the patient underwent neck exploration that revealed a 2.5 cm linear veritcal tear in the anterior trachea. This was primarily repaired with muscle flap reinforcement. The patient recovered with no other complications.Conclusion: Delayed tracheal rupture should be suspected in all patients who present with subcutaneous emphysema following thyroid surgery. Literature review suggests that conservative management is suitable in stable patients. Surgical repair is indicated in those who fail to demonstrate clinical improvement.
Hagig Mazeh; Pasithorn A Suwanabol; David F Schneider; Rebecca S Sippel
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-31
Journal Detail:
Title:  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists     Volume:  -     ISSN:  1934-2403     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-2-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607439     Medline TA:  Endocr Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-12     Citation Subset:  -    
Section of Endocrine Surgery, Department of Surgery, University of Wisconsin, Madison, WI.
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