Journal of Trauma and Injury

  • 제27권3호
  • /
  • Pages.75-78
  • /
  • 2014
  • /
  • 2799-4317(pISSN)
  • /
  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

호흡기 보조를 받는 환자에서 발생한 하인두 천공

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

  • 박권재 (동아대학교 의과대학 동아대학교병원 외상 외과) ;
  • 박창민 (동아대학교 의과대학 동아대학교병원 외상 외과) ;
  • 정상석 (동아대학교 의과대학 동아대학교병원 외상 외과) ;
  • 방정희 (동아대학교 의과대학 동아대학교병원 흉부외과)
  • Park, Kwon Jae (Department of Trauma Surgery, Dong-A University Hospital) ;
  • Park, Chang Min (Department of Trauma Surgery, Dong-A University Hospital) ;
  • Jung, Sang Seok (Department of Trauma Surgery, Dong-A University Hospital) ;
  • Bang, Jung Hee (Department of Cardiovascular and Thoracic Surgery, Dong-A University Hospital)
  • 투고 : 2014.03.11
  • 심사 : 2014.07.29
  • 발행 : 2014.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Johnson K, Hood D. Esophageal perforation associated with endotracheal intubation. Anesthesiology 1986; 64: 281-3. https://doi.org/10.1097/00000542-198602000-00031
  2. Shockly W, Tate J, Stucker F. Management of perforations of the hypopharynx and cervical esophagus. Laryngoscope 1985; 95: 939-41.
  3. Woodcock SA, H Bird, AK Siriwardena, S Ellenbogen. Hypopharyngeal perforation: uncommon cause of pneumoperitoneum. Emerg Med J 2001; 18: 396-8. https://doi.org/10.1136/emj.18.5.396
  4. Smith D, Woolley S. Hypopharyngeal perforation following minor trauma: a case report and literature review. Emerg Med J 2006; 23: e7. https://doi.org/10.1136/emj.2003.012187
  5. Dubost C, Kaswin D, Duranteau A, et al. Esophageal perforation during attempted endotracheal intubation. J Thorac Cardiovasc Surg 1979; 78: 44-5.
  6. Hinojar AJ, DiazDiaz MA, Pun YW, Hionjar AA. Management of hypopharyngeal and cervical oesophageal perforations. Auris Nasus Larynx 2003; 30: 175-82. https://doi.org/10.1016/S0385-8146(03)00042-7
  7. Keszler P, Buzna E. Surgical and conservative management of esophageal perforation. Chest 1981; 80: 158-62. https://doi.org/10.1378/chest.80.2.158
  8. Cho SW, Hong KW, Kim S, et al. Clinical results and risk factor analysis of surgical treatment for esophageal perforation. Korean J Thorac Cardiovasc Surg 2008; 41: 347-53.