Mediastinal abscess following iatrogenic piriform fossa perforation - case report

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Susana
Data de Publicação: 2010
Outros Autores: Montemor, Rudolfo, de Sousa, Vítor, Pinto, Luís Marques, Barros, José Ezequiel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.34631/sporl.224
Resumo: The hypopharynx and cervical oesophagus are particularly vulnerable areas of injury resulting from endotracheal intubation. These anaesthesia accidents are uncommon, rarely reported and its incidence is higher in the emergency situation. The pharyngoesophageal perforations may stay unnoticed until characteristic signs and symptoms are present, such as cervical pain, fever, dysphagia, leukocytosis, subcutaneous emphysema and pneumomediastinum. Surgical treatment vs conservative treatment is controversial. It is agreed, however, that the time interval between the initial trauma and diagnosis and treatment is the single most important factor affecting outcome. We report a case of mediastinal abscess following piriform fossa perforation occurring after a difficult intubation for an emergent caesarean delivery.
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spelling Mediastinal abscess following iatrogenic piriform fossa perforation - case reportAbcesso mediastínico após laceração iatrogénica do seio piriforme - caso clínicoMediastinal abscessEndotracheal intubationIatrogenic perforationPharyngoesophageal perforationAbcesso mediastínicointubação traquealperforação iatrogénicaperfuração faringo-esofágicaThe hypopharynx and cervical oesophagus are particularly vulnerable areas of injury resulting from endotracheal intubation. These anaesthesia accidents are uncommon, rarely reported and its incidence is higher in the emergency situation. The pharyngoesophageal perforations may stay unnoticed until characteristic signs and symptoms are present, such as cervical pain, fever, dysphagia, leukocytosis, subcutaneous emphysema and pneumomediastinum. Surgical treatment vs conservative treatment is controversial. It is agreed, however, that the time interval between the initial trauma and diagnosis and treatment is the single most important factor affecting outcome. We report a case of mediastinal abscess following piriform fossa perforation occurring after a difficult intubation for an emergent caesarean delivery.A hipofaringe e o esófago cervical são áreas particularmente vulneráveis a traumatismos por entubação oro-traqueal. Estes acidentes anestésicos são raros, pouco relatados e com maior incidência em situações de emergência. As perfurações faringoesofágicas podem passar despercebidas até ao aparecimento de sinais e sintomas característicos. Estes incluem dor cervical, febre, disfagia, leucocitose, enfisema subcutâneo e pneumomediastino. O tratamento cirúrgico vs conservador é controverso. É no entanto consensual que o intervalo de tempo entre o traumatismo e o diagnóstico e tratamento é, por si só, o factor mais importante para o prognóstico. Os autores apresentam um caso de uma parturiente submetida a cesariana de urgência em que ocorreu um acidente anestésico por entubação difícil, com laceração do seio piriforme e posterior formação de abcesso mediastínico.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2010-09-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.224https://doi.org/10.34631/sporl.224Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 48 No. 3 (2010): Setembro; 135-138Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 48 Núm. 3 (2010): Setembro; 135-138Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 48 N.º 3 (2010): Setembro; 135-1382184-6499reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2479https://journalsporl.com/index.php/sporl/article/view/2479/484Ribeiro, SusanaMontemor, Rudolfode Sousa, VítorPinto, Luís MarquesBarros, José Ezequielinfo:eu-repo/semantics/openAccess2024-06-06T12:58:45Zoai:journalsporl.com:article/2479Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:53:46.683806Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Mediastinal abscess following iatrogenic piriform fossa perforation - case report
Abcesso mediastínico após laceração iatrogénica do seio piriforme - caso clínico
title Mediastinal abscess following iatrogenic piriform fossa perforation - case report
spellingShingle Mediastinal abscess following iatrogenic piriform fossa perforation - case report
Ribeiro, Susana
Mediastinal abscess
Endotracheal intubation
Iatrogenic perforation
Pharyngoesophageal perforation
Abcesso mediastínico
intubação traqueal
perforação iatrogénica
perfuração faringo-esofágica
title_short Mediastinal abscess following iatrogenic piriform fossa perforation - case report
title_full Mediastinal abscess following iatrogenic piriform fossa perforation - case report
title_fullStr Mediastinal abscess following iatrogenic piriform fossa perforation - case report
title_full_unstemmed Mediastinal abscess following iatrogenic piriform fossa perforation - case report
title_sort Mediastinal abscess following iatrogenic piriform fossa perforation - case report
author Ribeiro, Susana
author_facet Ribeiro, Susana
Montemor, Rudolfo
de Sousa, Vítor
Pinto, Luís Marques
Barros, José Ezequiel
author_role author
author2 Montemor, Rudolfo
de Sousa, Vítor
Pinto, Luís Marques
Barros, José Ezequiel
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Ribeiro, Susana
Montemor, Rudolfo
de Sousa, Vítor
Pinto, Luís Marques
Barros, José Ezequiel
dc.subject.por.fl_str_mv Mediastinal abscess
Endotracheal intubation
Iatrogenic perforation
Pharyngoesophageal perforation
Abcesso mediastínico
intubação traqueal
perforação iatrogénica
perfuração faringo-esofágica
topic Mediastinal abscess
Endotracheal intubation
Iatrogenic perforation
Pharyngoesophageal perforation
Abcesso mediastínico
intubação traqueal
perforação iatrogénica
perfuração faringo-esofágica
description The hypopharynx and cervical oesophagus are particularly vulnerable areas of injury resulting from endotracheal intubation. These anaesthesia accidents are uncommon, rarely reported and its incidence is higher in the emergency situation. The pharyngoesophageal perforations may stay unnoticed until characteristic signs and symptoms are present, such as cervical pain, fever, dysphagia, leukocytosis, subcutaneous emphysema and pneumomediastinum. Surgical treatment vs conservative treatment is controversial. It is agreed, however, that the time interval between the initial trauma and diagnosis and treatment is the single most important factor affecting outcome. We report a case of mediastinal abscess following piriform fossa perforation occurring after a difficult intubation for an emergent caesarean delivery.
publishDate 2010
dc.date.none.fl_str_mv 2010-09-23
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.224
https://doi.org/10.34631/sporl.224
url https://doi.org/10.34631/sporl.224
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2479
https://journalsporl.com/index.php/sporl/article/view/2479/484
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 48 No. 3 (2010): Setembro; 135-138
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 48 Núm. 3 (2010): Setembro; 135-138
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 48 N.º 3 (2010): Setembro; 135-138
2184-6499
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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