Document Detail


Spontaneous retropharyngeal hemorrhage causing airway obstruction: a case report with a review of the literature.
MedLine Citation:
PMID:  16895052     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous retropharyngeal hemorrhage, although uncommon, can be rapidly progressive and potentially life-threatening. Timely recognition and appropriate treatment are essential for a successful outcome. We report a case of retropharyngeal hemorrhage in an 81-year-old male with a history of arteriosclerotic disease who presented with cough, dysphagia, dyspnea, and cervical ecchymosis. Lateral plain films and computerized tomography (CT) revealed a diffuse soft tissue density distending the retropharyngeal space and adjacent fascial compartments but sparing the glottic and subglottic airway. Emergency tracheostomy was required to relieve progressive upper airway obstruction. The literature on spontaneous retropharyngeal hematoma is reviewed including clinical presentation, causative factors, and recommended treatment.
Authors:
Rob Miller; Patrick Collison; Hossam E Gouda
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  South Dakota medicine : the journal of the South Dakota State Medical Association     Volume:  59     ISSN:  0038-3317     ISO Abbreviation:  S D Med     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-09     Completed Date:  2006-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101265265     Medline TA:  S D Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-7, 299     Citation Subset:  IM    
Affiliation:
Sanford School of Medicine, University of South Dakota, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Airway Obstruction / etiology*,  therapy
Hemorrhage / complications*,  physiopathology
Humans
Male
Pharyngeal Diseases / complications*,  physiopathology
Time Factors
Tracheostomy

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


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