Affordable Access

Access to the full text

Successful management of retropharyngeal hematoma by trans-arterial embolism without intubation

Authors
  • Sugiura, Gaku1
  • Takahashi, Hiroyuki1
  • Kodama, Yoshihisa2
  • Nara, Satoshi1
  • 1 Teine Keijinkai Hospital, 1-jo 12-chome 1-40, Maeda, Teine-ku, Sapporo, 006-8555, Japan , Sapporo (Japan)
  • 2 Teine Keijinkai Hospital, Sapporo, Japan , Sapporo (Japan)
Type
Published Article
Journal
International Journal of Emergency Medicine
Publisher
Springer Berlin Heidelberg
Publication Date
Jan 07, 2021
Volume
14
Issue
1
Identifiers
DOI: 10.1186/s12245-020-00322-9
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundRetropharyngeal hematoma can cause suffocation if there is delay in securing the airway by intubation. However, there are also concerns about complications that can arise with intubation; it is still unknown which cases do not require intubation.Case presentationAn 88-year-old woman slipped and was found prone and was transported to the emergency room. She was alert without any stridor. Physical examination revealed a subcutaneous hematoma in the anterior cervical region. Computed tomography revealed a retropharyngeal hematoma. Angiography and computed tomography angiography showed extravasation from the right costocervical trunk. A radiologist performed trans-arterial embolization, and she had an uneventful course without intubation or developing any complication. She became ambulatory on postoperative day 5.ConclusionAngiography and computed tomography angiography help in early recognition of extravasation in retropharyngeal hematoma, and trans-arterial embolization can help to avoid intubation and its complications.

Report this publication

Statistics

Seen <100 times