A novel approach to spontaneous retropharyngeal hematoma—a case report
Abstract Background Retropharyngeal hematoma is a rare but life-threatening situation and may require emergency tracheostomy or surgical drainage if the airway is compromised. We present a case of a retropharyngeal hematoma with shown active submucosal bleeding and describe the novel approach taken...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-11-01
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| Series: | The Egyptian Journal of Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43163-023-00533-w |
| _version_ | 1797637136306929664 |
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| author | Maria Jorge Casanova João Lino António Magalhães Luís Meireles |
| author_facet | Maria Jorge Casanova João Lino António Magalhães Luís Meireles |
| author_sort | Maria Jorge Casanova |
| collection | DOAJ |
| description | Abstract Background Retropharyngeal hematoma is a rare but life-threatening situation and may require emergency tracheostomy or surgical drainage if the airway is compromised. We present a case of a retropharyngeal hematoma with shown active submucosal bleeding and describe the novel approach taken for compression and control of the hemorrhage. Case presentation A 76-year-old man presented to our institution complaining of dysphagia and pharyngeal discomfort hematoma since that morning. The laryngoscopy showed a hematoma of the posterior wall of the hypopharynx. A computerized tomography scan with contrast was done, demonstrating a collection in the retropharyngeal space, and a small active vessel could be identified. The patient was intubated, and compression was performed in the location of the retropharyngeal hematoma using the esophageal balloon of a Blakemore tube, with successful control of the active bleed. Conclusions Retropharyngeal hematoma can be fatal, and we present a unique solution that can be used to successfully stop the bleeding while avoiding more invasive strategies, by performing compression with a Blakemore esophageal balloon to stop the bleeding. |
| first_indexed | 2024-03-11T12:45:04Z |
| format | Article |
| id | doaj.art-c8063571dd994b5e88d6d96acf6756ae |
| institution | Directory Open Access Journal |
| issn | 2090-8539 |
| language | English |
| last_indexed | 2024-03-11T12:45:04Z |
| publishDate | 2023-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-c8063571dd994b5e88d6d96acf6756ae2023-11-05T12:05:54ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392023-11-013911410.1186/s43163-023-00533-wA novel approach to spontaneous retropharyngeal hematoma—a case reportMaria Jorge Casanova0João Lino1António Magalhães2Luís Meireles3ENT Department, Centro Hospitalar Universitário de Santo António, Largo Do Prof. Abel SalazarENT Department, Centro Hospitalar Universitário de Santo António, Largo Do Prof. Abel SalazarENT Department, Centro Hospitalar Universitário de Santo António, Largo Do Prof. Abel SalazarENT Department, Centro Hospitalar Universitário de Santo António, Largo Do Prof. Abel SalazarAbstract Background Retropharyngeal hematoma is a rare but life-threatening situation and may require emergency tracheostomy or surgical drainage if the airway is compromised. We present a case of a retropharyngeal hematoma with shown active submucosal bleeding and describe the novel approach taken for compression and control of the hemorrhage. Case presentation A 76-year-old man presented to our institution complaining of dysphagia and pharyngeal discomfort hematoma since that morning. The laryngoscopy showed a hematoma of the posterior wall of the hypopharynx. A computerized tomography scan with contrast was done, demonstrating a collection in the retropharyngeal space, and a small active vessel could be identified. The patient was intubated, and compression was performed in the location of the retropharyngeal hematoma using the esophageal balloon of a Blakemore tube, with successful control of the active bleed. Conclusions Retropharyngeal hematoma can be fatal, and we present a unique solution that can be used to successfully stop the bleeding while avoiding more invasive strategies, by performing compression with a Blakemore esophageal balloon to stop the bleeding.https://doi.org/10.1186/s43163-023-00533-wRetropharyngeal hematomaCompressionAirwayCase report |
| spellingShingle | Maria Jorge Casanova João Lino António Magalhães Luís Meireles A novel approach to spontaneous retropharyngeal hematoma—a case report The Egyptian Journal of Otolaryngology Retropharyngeal hematoma Compression Airway Case report |
| title | A novel approach to spontaneous retropharyngeal hematoma—a case report |
| title_full | A novel approach to spontaneous retropharyngeal hematoma—a case report |
| title_fullStr | A novel approach to spontaneous retropharyngeal hematoma—a case report |
| title_full_unstemmed | A novel approach to spontaneous retropharyngeal hematoma—a case report |
| title_short | A novel approach to spontaneous retropharyngeal hematoma—a case report |
| title_sort | novel approach to spontaneous retropharyngeal hematoma a case report |
| topic | Retropharyngeal hematoma Compression Airway Case report |
| url | https://doi.org/10.1186/s43163-023-00533-w |
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