The Diagnosis and Management of Patient with Delayed Symptoms from a Tracheal Tear

Nancy B. Greilich; Irina Gasanova; Brian Farrell; Girish P. Joshi

doi:10.1213/XAA.0000000000000289

The Diagnosis and Management of Patient with Delayed Symptoms from a Tracheal Tear

Nancy B. Greilich, Irina Gasanova, Brian Farrell, Girish P. Joshi

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Development of subcutaneous emphysema after gastrointestinal endoscopy with general anesthesia presents a diagnostic conundrum. We discuss the management of a patient who experienced significant vomiting followed by neck and facial swelling with crepitus and shortness of breath after the endoscopic retrograde cholangiopancreatography. The presence of respiratory distress usually suggests that head and neck subcutaneous emphysema is most likely associated with pneumothorax and/or pneumomediastinum. We discuss the prevention, differential diagnosis, and current management of tracheal tears including subcutaneous emphysema.

Original language	English (US)
Pages (from-to)	230-233
Number of pages	4
Journal	A & A case reports
Volume	6
Issue number	8
DOIs	https://doi.org/10.1213/XAA.0000000000000289
State	Published - Apr 15 2016

ASJC Scopus subject areas

General Medicine

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10.1213/XAA.0000000000000289

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title = "The Diagnosis and Management of Patient with Delayed Symptoms from a Tracheal Tear",

abstract = "Development of subcutaneous emphysema after gastrointestinal endoscopy with general anesthesia presents a diagnostic conundrum. We discuss the management of a patient who experienced significant vomiting followed by neck and facial swelling with crepitus and shortness of breath after the endoscopic retrograde cholangiopancreatography. The presence of respiratory distress usually suggests that head and neck subcutaneous emphysema is most likely associated with pneumothorax and/or pneumomediastinum. We discuss the prevention, differential diagnosis, and current management of tracheal tears including subcutaneous emphysema. ",

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AU - Greilich, Nancy B.

AU - Gasanova, Irina

AU - Farrell, Brian

AU - Joshi, Girish P.

PY - 2016/4/15

Y1 - 2016/4/15

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AB - Development of subcutaneous emphysema after gastrointestinal endoscopy with general anesthesia presents a diagnostic conundrum. We discuss the management of a patient who experienced significant vomiting followed by neck and facial swelling with crepitus and shortness of breath after the endoscopic retrograde cholangiopancreatography. The presence of respiratory distress usually suggests that head and neck subcutaneous emphysema is most likely associated with pneumothorax and/or pneumomediastinum. We discuss the prevention, differential diagnosis, and current management of tracheal tears including subcutaneous emphysema.

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JO - A & A case reports

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The Diagnosis and Management of Patient with Delayed Symptoms from a Tracheal Tear

Abstract

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