Tracheal injury as a perforation of a newly formed tracheal diverticulum after tracheal intubation: A case report.
10.17085/apm.2015.10.1.32
- Author:
Yoo KANG
1
;
Yong Kyung LEE
;
Hong Sik LEE
;
Young Keun CHAE
;
Sang eun LEE
;
Jinhye MIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea. jhmin@kd.ac.kr
- Publication Type:Case Report
- Keywords:
Airway;
Diverticulum;
Intubation;
Pneumomediastinum;
Subcutaneous emphysema;
Trachea
- MeSH:
Bronchoscopy;
Diverticulum*;
Embolization, Therapeutic;
Emergencies;
Female;
Humans;
Intensive Care Units;
Intracranial Aneurysm;
Intubation*;
Mediastinal Emphysema;
Middle Aged;
Neck;
Subcutaneous Emphysema;
Thorax;
Trachea
- From:Anesthesia and Pain Medicine
2015;10(1):32-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although tracheal injury after tracheal intubation has been reported often, the formation of acquired tracheal diverticulum as the complications of intubation has not been reported before. In a 57-year-old woman, emergency coil embolization was performed for the treatment of a ruptured cerebral aneurysm. Then, the over-ballooning of an endotracheal tube cuff and deep intubation were observed on a chest X-ray. So, the tube was re-ballooned and re-positioned before surgery. Five hours after extubation in the intensive care unit at postoperative 5 days, a perforation of the tracheal diverticulum wall, leading to subcutaneous emphysema around her neck and pneumomediastinum, was diagnosed using CT and bronchoscopy. The cause of the tracheal diverticulum was suspected over-ballooning of the endotracheal tube cuff because the diverticulum site and size were the same as those of the over-ballooning cuff.
