J Korean Soc Traumatol.  2014 Sep;27(3):75-78. 10.0000/jti.2014.27.3.75.

A Case of Hypopharyngeal Perforation in a Trauma Patient on Ventilatory Support

Affiliations
  • 1Department of Trauma Surgery, Dong-A University Hospital, Korea. juvabien@hanmail.net
  • 2Department of Cardiovascular and Thoracic Surgery, Dong-A University Hospital, Korea.

Abstract

Hypopharyngeal perforation is a rare, but fatal, complication. Clinical signs and symptoms of this condition are neck pain, odynophagia, dysphagia, fever, vomiting, cervical swelling and subcutaneous emphysema. However, these signs are obscured in patient suffering from severe trauma who has had an endotracheal tube inserted, which delay proper evaluation and treatment. Here, we report a case of hypopharyngeal perforation in a trauma patient who had an endotracheal tube inserted for mechanical ventilation.

Keyword

Pharynx; Neck; Emphysema; Perforation

MeSH Terms

Deglutition Disorders
Emphysema
Fever
Humans
Neck
Neck Pain
Pharynx
Respiration, Artificial
Subcutaneous Emphysema
Vomiting
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