Acute airway obstruction due to retropharyngeal haematoma caused by a large fish bone in a patient with hypertension caused by a pheochromocytoma

BMJ Case Reports
Yan WeiAndreas E Albers

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.

References

Mar 1, 1995·The Journal of Emergency Medicine·R O Mitchell, B T Heniford
Mar 1, 1995·The Journal of Emergency Medicine·S R Williams
Apr 27, 1999·The Journal of Trauma·K J Tsai, Y C Huang
Nov 25, 2000·The Journal of Laryngology and Otology·D SandooramG Radcliffe
Jan 15, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Vinayak Nilkanth BapatFick Shabbo
Dec 3, 2002·Anesthesiology·Chafik El KettaniMichel Ossart
May 15, 2003·The Journal of Emergency Medicine·Daniel E Gurr, Ron M Walls
Jul 1, 1993·The Journal of Laryngology and Otology·H K al-FalloujiP J Johnson
Sep 1, 2005·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Christian DuvillardPhilippe Romanet
Nov 23, 2006·Kidney & Blood Pressure Research·Jiri Widimský
Feb 28, 2008·The Journal of Trauma·Shih-Hung TsaiShi-Jye Chu
Sep 11, 2010·The Korean Journal of Pain·Sang Soo KangKeun Man Shin
Nov 11, 2010·Journal of Emergencies, Trauma, and Shock·Torsten BirkholzJoachim Schmidt
Nov 9, 2011·Auris, Nasus, Larynx·Go InokuchiTaeko Okuno
Mar 1, 2012·The Journal of Emergency Medicine·Shinichi IizukaSadaki Inokuchi

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Citations

Jun 15, 2016·Auris, Nasus, Larynx·Akihiro Himeno, Atsushi Tamura
Jul 28, 2016·Clinical Endoscopy·Heung Up Kim
Aug 25, 2019·Journal of Medical Case Reports·Christian WarkenAnne Lammert

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