Öz
Amaç: Retrofarengeal hematom gelişimi, çok nadir izlenen fakat yaşamı tehdit eden ani hava yolu obstrüksiyonu tehlikesine yol açabilen ve acil hava yolu stabilizasyonu gerektiren Kulak Burun Boğaz acil durumlarındandır. Bu nadir olgu sunumunun amacı hayatı tehdit eden bu gibi durumlara yönelik farkındalığı artırmak ve literatüre katkıda bulunmaktır. Olgu: Burada hastanemizin acil bölümüne son 4 saatte aniden başlayan ve progresif ilerleyen solunum sıkıntısı, disfaji, disfoni şikayetleri ile baş vuran, ileri derece epiglot ödemi ve retrofarengeal hematoma bağlı totale yakın larengeal obstruksiyon gelişen nadir bir olgu sunulmaktadır. Sonuç: Bu yazı, düzensiz varfarin ve aspirin kullanan, yağdan fakir beslenen ve karaciğer fonksiyon bozukluğu sonucu K vitamin eksikliği oluşan bir olguda retrofaringeal hematom gelişebildiğini gösteren literatürde bildirilen (PubMed, ScienceDirect, Scopus ve Google Scholar veri tabanları) ilk vaka örneğidir.
Anahtar Kelimeler
Hava yolu obstruksiyonu Retrofarengeal hematom K vitamin eksikliği Varfarin
Kaynakça
- Referans1 Iizuka S., Morita S., Otsuka H., et al. Sudden asphyxia caused by retropharyngeal hematoma after blunt thyrocervical artery injury. The Journal of Emergency Medicine. 2012;43(3):451–456. doi: 10.1016/j.jemermed.2011.05.094.
- Referans2 Stewart R. W., Hardjasudarma M., Nall L., Mathews G., Davis R. Fatal outcome of jugular vein cannulation. Southern Medical Journal. 1995;88(11):1159–1160. doi: 10.1097/00007611-199511000-00017. Referans3 Hirshoren N., Gross M., Weinberger J. M., Eliashar R. Retropharyngeal infected hematoma: A unique complication of nasogastric tube insertion. Journal of Trauma - Injury Infection and Critical Care. 2009;67(4):p. 891. doi: 10.1097/TA.0b013e31805d8f80.
- Referans4 Bloom D. C., Haegen T., Keefe M. A. Anticoagulation and spontaneous retropharyngeal hematoma. The Journal of Emergency Medicine. 2003;24(4):389–394. doi: 10.1016/s0736-4679(03)00035-0.
- Referans5 Tsui S.-O., Hu S.-F., Fang L.-C., Lai C.-C., Lin H.-I. Upper airway obstruction due to spontaneous retropharyngeal hemorrhage. Resuscitation. 2010;81(11):1596–1597. doi: 10.1016/j.resuscitation.2010.06.009. Referans6 Yamamoto T., Schmidt-Niemann M., Schindler E. A case of acute upper airway obstruction in a pediatric hemophilia a patient because of spontaneous retropharyngeal hemorrhage presented at the 62nd annual meeting of the japanese society of anesthesiologists, May 2015, Kobe, Japan. Annals of Emergency Medicine. 2016;67(5):616–619. doi: 10.1016/j.annemergmed.2015.08.028.
- Referans7 Sinert R., Scalea T. Retropharyngeal and Bowel Hematomas in an Anticoagulated Patient. Academic Emergency Medicine. 1994;1(1):67–72. doi: 10.1111/j.1553-2712.1994.tb02804.x.
- Referans8 Akoglu E., Seyfeli E., Akoglu S., et al. Retropharyngeal hematoma as a complication of anticoagulation therapy. Journal of Ear, Nose and Throat Disorders. 2008;87:156–159.
- Referans9 David P. Betten and Jennifer L. Jaquint. Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel. Case Reports in Emergency Medicine . 2018; 2018: 6147473. doi: 10.1155/2018/6147473
- Referans10 Van Velde R., Sars P. R. A., Olsman J. G., Van De Hoeven H. Traumatic retropharyngeal haematoma treated by embolization of the thyrocervical trunk. European Journal of Emergency Medicine. 2002;9(2):159–161. doi: 10.1097/00063110-200206000-00011.
- Referans11 Pfeiffer J., Ridder G. J. An elderly woman with increasing dyspnoea after a fall. Emergency Medicine Journal. 2011;28(9):806–808. doi: 10.1136/emj.12.2010.3642rep
Öz
Aim: The retropharyngeal hematoma is an ear nose and throat emergency that is very rare but can cause the danger of sudden airway obstruction, which is life-threatening and requires urgent airway stabilization. This rare case report aims to increase awareness of such life-threatening situations and contribute to the literature. Case: In this report, I would like to present a rare case of severe epiglottic edema and near total laryngeal obstruction due to retropharyngeal hematoma, which contributed to the emergency department in our hospital with complaints of distress, dysphagia, and dysphonia that started suddenly in the last 4 hours. Conclusion: It is the first case example reported in the literature (PubMed, ScienceDirect, Scopus, and Google Scholar databases) showing that a person who uses irregular warfarin and aspirin, has a low-fat diet, and has vitamin K deficiency as a result of liver dysfunction may develop a retropharyngeal hematoma.
Kaynakça
- Referans1 Iizuka S., Morita S., Otsuka H., et al. Sudden asphyxia caused by retropharyngeal hematoma after blunt thyrocervical artery injury. The Journal of Emergency Medicine. 2012;43(3):451–456. doi: 10.1016/j.jemermed.2011.05.094.
- Referans2 Stewart R. W., Hardjasudarma M., Nall L., Mathews G., Davis R. Fatal outcome of jugular vein cannulation. Southern Medical Journal. 1995;88(11):1159–1160. doi: 10.1097/00007611-199511000-00017. Referans3 Hirshoren N., Gross M., Weinberger J. M., Eliashar R. Retropharyngeal infected hematoma: A unique complication of nasogastric tube insertion. Journal of Trauma - Injury Infection and Critical Care. 2009;67(4):p. 891. doi: 10.1097/TA.0b013e31805d8f80.
- Referans4 Bloom D. C., Haegen T., Keefe M. A. Anticoagulation and spontaneous retropharyngeal hematoma. The Journal of Emergency Medicine. 2003;24(4):389–394. doi: 10.1016/s0736-4679(03)00035-0.
- Referans5 Tsui S.-O., Hu S.-F., Fang L.-C., Lai C.-C., Lin H.-I. Upper airway obstruction due to spontaneous retropharyngeal hemorrhage. Resuscitation. 2010;81(11):1596–1597. doi: 10.1016/j.resuscitation.2010.06.009. Referans6 Yamamoto T., Schmidt-Niemann M., Schindler E. A case of acute upper airway obstruction in a pediatric hemophilia a patient because of spontaneous retropharyngeal hemorrhage presented at the 62nd annual meeting of the japanese society of anesthesiologists, May 2015, Kobe, Japan. Annals of Emergency Medicine. 2016;67(5):616–619. doi: 10.1016/j.annemergmed.2015.08.028.
- Referans7 Sinert R., Scalea T. Retropharyngeal and Bowel Hematomas in an Anticoagulated Patient. Academic Emergency Medicine. 1994;1(1):67–72. doi: 10.1111/j.1553-2712.1994.tb02804.x.
- Referans8 Akoglu E., Seyfeli E., Akoglu S., et al. Retropharyngeal hematoma as a complication of anticoagulation therapy. Journal of Ear, Nose and Throat Disorders. 2008;87:156–159.
- Referans9 David P. Betten and Jennifer L. Jaquint. Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel. Case Reports in Emergency Medicine . 2018; 2018: 6147473. doi: 10.1155/2018/6147473
- Referans10 Van Velde R., Sars P. R. A., Olsman J. G., Van De Hoeven H. Traumatic retropharyngeal haematoma treated by embolization of the thyrocervical trunk. European Journal of Emergency Medicine. 2002;9(2):159–161. doi: 10.1097/00063110-200206000-00011.
- Referans11 Pfeiffer J., Ridder G. J. An elderly woman with increasing dyspnoea after a fall. Emergency Medicine Journal. 2011;28(9):806–808. doi: 10.1136/emj.12.2010.3642rep
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 19 Haziran 2023 |
| Gönderilme Tarihi | 23 Ekim 2022 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 2 Sayı: 2 |
Kaynak Göster
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