Tracheo-oesophageal compression due to massive spontaneous retropharyngeal haematoma

Findlay, John M.; Belcher, Elizabeth; Black, Elizabeth; Sgromo, Bruno

doi:10.1093/icvts/ivt118

Cited by 11 publications

(4 citation statements)

References 5 publications

(9 reference statements)

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“…Injury to ligamentous tissue and blood vessels around the anterior cervical spine can lead to the formation of a large retropharyngeal hematoma . In addition, there have been previous reports of a retropharyngeal hematoma occurring simultaneously with a PMH . Therefore, we strongly suspected that the hematoma in our case originated at the cervical level and spread downward.…”

Section: Discussionmentioning

confidence: 64%

Posterior mediastinal hematoma after a simple fall in a patient with normal coagulation

Thamamongood

Onuki

Kuramochi

et al. 2015

Acute Medicine & Surgery

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Case: A 77-year-old woman presented with neck swelling and odynophagia following a fall from standing height. She had no history of antiplatelet or anticoagulant use. Computed tomography of the chest showed an isodense to hypodense soft tissue mass in the bilateral carotid space, retropharyngeal space, and posterior mediastinum. With no airway obstruction symptoms, the patient was placed on bed rest under close observation.Outcome: The mass decreased in size spontaneously over the 10 days following symptom onset, accompanied by overall clinical improvement. The patient was diagnosed with a posterior mediastinal hematoma.Conclusion: This is the first reported case of posterior mediastinal hematoma caused by a neck hyperextension injury secondary to a simple fall in a patient with normal coagulation. The outcome was good; however, emergency physicians should be aware that hematomas necessitating airway management may occur after a fall.

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Section: Discussionmentioning

confidence: 64%

Posterior mediastinal hematoma after a simple fall in a patient with normal coagulation

Thamamongood

Onuki

Kuramochi

et al. 2015

Acute Medicine & Surgery

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“…It consists of tracheal and esoph-ageal compression, anterior displacement of the trachea and subcutaneous bruising over the neck and anterior chest. 1,[5][6][7] However the blood loss is usually less. So no signs of hypovolemic shock are seen.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Retropharyngeal Haematoma: Case Report and Literature Overview

Pokharel

Basnet

Mayya

et al. 2019

J Coll Med Sci-Nepal

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Spontaneous retropharyngeal hematoma is a rare and difficult case to diagnose early. Very few cases have been reported in the literature. We report a rare case of spontaneous retropharyngeal hema-toma presenting with acute onset of neck pain, neck motion limitation and dysphagia. The diagnosis was established by Magnetic Resonance Imaging. The hematoma was drained and the patient condition improved. It is important to be aware of this unusual condition with its distinct presentation. Most cases will resolve with conservative management. Surgical intervention is needed if medical management fails.

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“…Presenting symptoms include chest pain, dysphagia, hematemesis, or melena. 5 SPH may also present with retrosternal chest pain, but because paraesophageal veins are located adjacent to the esophageal wall, an inciting factor such as trauma or vomiting is not necessary to cause a spontaneous bleed. Thus, hematemesis or other overt clinical signs of GI bleeding frequently seen in IEH are not usually present in SPH.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Paraesophageal Hematoma

Yan

Walker

Chalasani

2016

ACG Case Reports Journal

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Spontaneous paraesophageal hematoma (SPH) likely shares a common etiology with spontaneous intramural esophageal hematoma (IEH). Patients with IEH typically present with hematemesis or melena leading to early detection and management, but patients with SPH do not have overt gastrointestinal bleeding on presentation. Management depends on the correction of the underlying causative factor. We present the first case of a spontaneous paraesophageal hematoma in a patient with hemophilia B. Awareness of this complication of hemophilia, its clinical manifestations, and imaging findings, allows for a timely diagnosis and appropriate management.

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Tracheo-oesophageal compression due to massive spontaneous retropharyngeal haematoma

Cited by 11 publications

References 5 publications

Posterior mediastinal hematoma after a simple fall in a patient with normal coagulation

Posterior mediastinal hematoma after a simple fall in a patient with normal coagulation

Spontaneous Retropharyngeal Haematoma: Case Report and Literature Overview

Spontaneous Paraesophageal Hematoma

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