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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Albers, Andreas E. Wei, Yan Jahreiß, Linda Zhang, Zhili |
| Description | Author Affiliation: Wei Y ( Department of Otorhinolaryngology, Head and Neck Surgery, Zhejiang University, The First Affiliated Hospital of Medical School of Zhejiang University, Hang Zhou, China.); Jahreiß L ( Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.); Zhang Z ( Department of Otorhinolaryngology, Head and Neck Surgery, Zhejiang University, The First Affiliated Hospital of Medical School of Zhejiang University, Hang Zhou, China.); Albers AE ( Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.) |
| Abstract | Retropharyngeal haematoma (RH) is an extremely rare but potentially life-threatening condition that requires an early diagnosis and immediate management. Acute complications arise from compression and obstruction of the upper airway and oesophagus with the risk of consecutive aspiration. We present the case of a 48-year-old man with formation of a RH after accidental ingestion of a large fish bone with hypertension as comorbidity caused by a so far undiagnosed pheochromocytoma. The patient presented with acute onset of retropharyngeal pain, dysphonia and dysphagia secondary to fish bone foreign body ingestion. His medical history was significant for uncontrolled hypertension. CT showed a large RH extending from the oropharynx to the superior mediastinum. The patient underwent emergency tracheostomy, surgical debridement and removal of the fish bone. Antihypertensive medication was utilised to control his labile blood pressure. The postoperative CT scan revealed an adrenal pheochromocytoma that was subsequently resected. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Adrenal Gland Neoplasms Complications Airway Obstruction Etiology Foreign Bodies Hematoma Hypertension Oropharynx Pharyngeal Diseases Pheochromocytoma Animals Bone And Bones Deglutition Disorders Dysphonia Fishes Humans Male Middle Aged Case Reports Journal Article Research Support, Non-U.S. Gov't Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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