Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report
Fiona Kabagenyi,1 Rym Hidour2 1Department of Ear Nose and Throat, Makerere University, Kampala, Uganda; 2Department of Ear Nose and Throat, Mulago National Referral Hospital, Kampala, UgandaCorrespondence: Fiona Kabagenyi, Department of Ear Nose and Throat, College of Health Sciences, Makerere Unive...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-12-01
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| Series: | International Medical Case Reports Journal |
| Subjects: | |
| Online Access: | https://www.dovepress.com/spontaneous-retropharyngeal-haematoma-causing-upper-airway-obstruction-peer-reviewed-fulltext-article-IMCRJ |
| _version_ | 1811196020001865728 |
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| author | Kabagenyi F Hidour R |
| author_facet | Kabagenyi F Hidour R |
| author_sort | Kabagenyi F |
| collection | DOAJ |
| description | Fiona Kabagenyi,1 Rym Hidour2 1Department of Ear Nose and Throat, Makerere University, Kampala, Uganda; 2Department of Ear Nose and Throat, Mulago National Referral Hospital, Kampala, UgandaCorrespondence: Fiona Kabagenyi, Department of Ear Nose and Throat, College of Health Sciences, Makerere University, PO Box 7072, Kampala, Uganda, Tel +256774150102, Email kabagenyiatwooki6@gmail.comAbstract: Bleeding into the retropharyngeal region in children is an unusual cause of acute upper airway obstruction. Even in the absence of known risk factors or aetiology, this rare entity should be considered as one of the differential diagnoses of retropharyngeal swellings in children. Prompt surgical intervention is required whenever rapid progression to airway obstruction is observed. In this case report, we present an 18-month-old girl previously managed as upper respiratory tract infection, who presented with progressive dysphagia, drooling and eventually airway obstruction with stridor and respiratory distress. Conservative prolonged airway protection by intubation or tracheostomy was averted by an emergency incision and drainage of the haematoma. There was complete resolution by the second week and no recurrence reported at follow-up 18 months later.Keywords: retropharynx, cervical, haematoma, oedema, paediatric |
| first_indexed | 2024-04-12T00:52:49Z |
| format | Article |
| id | doaj.art-b1dc6d248e9d4259811ba53de98f1161 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-04-12T00:52:49Z |
| publishDate | 2022-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-b1dc6d248e9d4259811ba53de98f11612022-12-22T03:54:42ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2022-12-01Volume 1573974380438Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case ReportKabagenyi FHidour RFiona Kabagenyi,1 Rym Hidour2 1Department of Ear Nose and Throat, Makerere University, Kampala, Uganda; 2Department of Ear Nose and Throat, Mulago National Referral Hospital, Kampala, UgandaCorrespondence: Fiona Kabagenyi, Department of Ear Nose and Throat, College of Health Sciences, Makerere University, PO Box 7072, Kampala, Uganda, Tel +256774150102, Email kabagenyiatwooki6@gmail.comAbstract: Bleeding into the retropharyngeal region in children is an unusual cause of acute upper airway obstruction. Even in the absence of known risk factors or aetiology, this rare entity should be considered as one of the differential diagnoses of retropharyngeal swellings in children. Prompt surgical intervention is required whenever rapid progression to airway obstruction is observed. In this case report, we present an 18-month-old girl previously managed as upper respiratory tract infection, who presented with progressive dysphagia, drooling and eventually airway obstruction with stridor and respiratory distress. Conservative prolonged airway protection by intubation or tracheostomy was averted by an emergency incision and drainage of the haematoma. There was complete resolution by the second week and no recurrence reported at follow-up 18 months later.Keywords: retropharynx, cervical, haematoma, oedema, paediatrichttps://www.dovepress.com/spontaneous-retropharyngeal-haematoma-causing-upper-airway-obstruction-peer-reviewed-fulltext-article-IMCRJretropharynxcervicalhaematomaoedemapaediatric |
| spellingShingle | Kabagenyi F Hidour R Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report International Medical Case Reports Journal retropharynx cervical haematoma oedema paediatric |
| title | Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report |
| title_full | Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report |
| title_fullStr | Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report |
| title_full_unstemmed | Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report |
| title_short | Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report |
| title_sort | spontaneous retropharyngeal haematoma causing upper airway obstruction in a child case report |
| topic | retropharynx cervical haematoma oedema paediatric |
| url | https://www.dovepress.com/spontaneous-retropharyngeal-haematoma-causing-upper-airway-obstruction-peer-reviewed-fulltext-article-IMCRJ |
| work_keys_str_mv | AT kabagenyif spontaneousretropharyngealhaematomacausingupperairwayobstructioninachildcasereport AT hidourr spontaneousretropharyngealhaematomacausingupperairwayobstructioninachildcasereport |