Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2014.07.014
Brazilian Journal of Anesthesiology
Clinical Informations

Paratracheal cyst rupture: a differential diagnosis for tracheal rupture

Ruptura de cisto paratraqueal: um diagnóstico diferencial para ruptura traqueal

Joana Marques; Ana Rita Henriques; Luisa Azevedo; Daniela Chalo; Adelina Almeida

http://dx.doi.org/10.1016/j.bjane.2014.07.014 Braz J Anesthesiol, vol.67, n2, p.214-216, 2017
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Abstract

Abstract Tracheobronchial rupture is a rare but potentially life-threatening complication commonly caused by neck and chest trauma. Iatrogenic tracheobronchial rupture can be caused by intubation, tracheostomy, bronchoscopy but also linked to pre-existing primary diseases. Paratracheal air cysts, infrequently described in literature, seem to be associated with obstructive lung disease and weaknesses in right posterior lateral wall of the trachea. We report a case of a paratracheal air cyst rupture in a previous healthy patient.

Keywords

Tracheal rupture, Paratracheal cyst, Anesthetic complications

Resumo

Resumo A ruptura traqueobrônquica (RTB) é uma complicação rara, mas potencialmente fatal, comumente causada por trauma de pescoço e tórax. A RTB iatrogênica pode ser causada por intubação, traqueostomia, broncoscopia, mas também pode estar relacionada a doenças primárias preexistentes. Os cistos aéreos paratraqueais, raramente descritos na literatura, parecem estar associados à doença pulmonar obstrutiva e fraqueza da parede posterolateral direita da traqueia. Relatamos o caso de uma ruptura de cisto aéreo paratraqueal em paciente previamente saudável.

Palavras-chave

Ruptura traqueal, Cisto paratraqueal, Complicações anestésicas

References

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Minãmbres BJ, Ballesteros M, Llorca J, Muñoz P, González-Castro A. Tracheal rupture after endotracheal intubation: a literature systematic review. Eur J Cardiothorac Surg. 2009;35:1056-62.

Goo JM, Im JG, Ahn JM. Right paratracheal air cysts in the thoracic inlet: clinical and radiologic significance. Am J Roentgenol. 1999;173:65-70.

Buterbaugh JE, Erly WK. Paratracheal air cysts: a common finding on routine CT examinations of the cervical spine and neck thay may mimic pneumomediastinum in patients with traumatic injuries. Am J Neuroradiol. 2008;29:1218-21.

Carbognani P, Cattelani L, Internulli E, Caporale D, Rusca M. Management of post-intubation membranous tracheal rupture. Ann Thorac Surg. 2004;77:406-9.

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