A 92-year-old man with retropharyngeal hematoma caused by an injury of the anterior longitudinal ligament.
- Author:
Seiji MORITA
1
;
Shinichi IIZUKA
;
Haruna HIRAKAWA
;
Shigeo HIGAMI
;
Takeshi YAMAGIWA
;
Sadaki INOKUCHI
Author Information
1. Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Shimokasuya Isehara-City Kanagawa, Japan. morita@is.icc.u-tokai.ac.jp
- Publication Type:Case Reports
- MeSH:
Aged;
Aged, 80 and over;
Hematoma;
diagnosis;
etiology;
Humans;
Longitudinal Ligaments;
injuries;
Magnetic Resonance Imaging;
Male;
Pharyngeal Diseases;
diagnosis;
etiology;
Tomography, X-Ray Computed
- From:
Chinese Journal of Traumatology
2010;13(2):120-122
- CountryChina
- Language:English
-
Abstract:
Traumatic retropharyngeal hematoma is a rare condition and may be lethal in some cases. In patients with this condition, the absence of a vertebral fracture or a major vascular injury is extremely rare. We present the case of a 92-year-old man who hit his forehead by slipping on the floor in his house. He had no symptoms at the time; however, he experienced throat pain and dyspnea at 6 hours after the injury. On arrival, he complained of severe dyspnea; therefore, an emergency endotracheal intubation was performed. A lateral neck roentgenogram after intubation showed dilatation of the retropharyngeal and retrotracheal space and no evidence of a cervical vertebral fracture. Cervical computed tomography (CT) with contrast medium revealed a massive hematoma extending from the retropharyngeal to the superior mediastinal space but no evidence of contrast medium extravasation or a vertebral fracture. However, sagittal magnetic resonance imaging (MRI) revealed an anterior longitudinal ligament (C4-5 levels) injury. We determined that the cause of the hematoma was an anterior longitudinal ligament injury and a minor vascular injury around the injured ligament. Therefore, we recommend that patients with retropharyngeal hematoma undergo sagittal cervical MRI when roentgenography and CT reveal no evidence of injury.
