Massive Retropharyngeal Hematoma with Airway Obstruction after Minor Injury

Abstract

Retropharyngeal hematoma can cause life-threatening airway compromise. We present a case of massive retropharyngeal hematoma following minor injury. The patient required immediate tracheostomy followed by evacuation of hematoma and cervical stabilization.

Keywords

retropharyngeal - hematoma - airway - obstruction

• References

• 1 Chin KW, Sercarz JA, Wang MB, Andrews R. Spontaneous cervical hemorrhage with near-complete airway obstruction. Head Neck 1998; 20 (04) 350-353
• 2 Kang SS, Jung SH, Kim MS, Hong SJ, Yoon YJ, Shin KM. Spontaneous retropharyngeal hematoma—a case report. Korean J Pain 2010; 23 (03) 211-214
• 3 Frankfort M, Koeijers JJ, Zwaveling JH, van Mook WNKA. Severe retropharyngeal haematoma after apparent minor injury. Neth J Crit Care 2011; 15 (06) 288-291
• 4 Shaw CB, Bawa R, Snider G, Wax MK. Traumatic retropharyngeal hematoma: a case report. Otolaryngol Head Neck Surg 1995; 113 (04) 485-488
• 5 Duvillard C, Ballester M, Romanet P. Traumatic retropharyngeal hematoma: a rare and critical pathology needed for early diagnosis. Eur Arch Otorhinolaryngol 2005; 262 (09) 713-715
• 6 Suzuki T, Imai H, Uchino M. et al. Fatal retropharyngeal haematoma secondary to blunt trauma. Injury 2004; 35 (10) 1059-1063
• 7 Penning L. Prevertebral hematoma in cervical spine injury: incidence and etiologic significance. AJR Am J Roentgenol 1981; 136 (03) 553-561
• 8 Rojas CA, Vermess D, Bertozzi JC, Whitlow J, Guidi C, Martinez CR. Normal thickness and appearance of the prevertebral soft tissues on multidetector CT. AJNR Am J Neuroradiol 2009; 30 (01) 136-141
• 9 Tsai KJ, Huang YC. Traumatic retropharyngeal hematoma: case report. J Trauma 1999; 46 (04) 715-716