THE ROLE OF MULTISLICE COMPUTED TOMOGRAPHY IN THE EMERGENCY DIAGNOSIS OF THE TRACHEOBRONCHIAL INJURY AFTER ENDOTRACHEAL INTUBATION - CASE REPORT | Zendy

Aleksandar Karanikolić | Zendy; Zoran Damnjanović | Zendy; Vesna Karanikolić | Zendy; Ivan Pešić | Zendy; Biljana Stošić | Zendy; Toplica Bojić | Zendy

Open Access

THE ROLE OF MULTISLICE COMPUTED TOMOGRAPHY IN THE EMERGENCY DIAGNOSIS OF THE TRACHEOBRONCHIAL INJURY AFTER ENDOTRACHEAL INTUBATION - CASE REPORT

Author(s) -

Aleksandar Karanikolić,

Zoran Damnjanović,

Vesna Karanikolić,

Ivan Pešić,

Biljana Stošić,

Toplica Bojić

Publication year - 2015

Publication title -

acta medica medianae

Language(s) - English

Resource type - Journals

eISSN - 1821-2794

pISSN - 0365-4478

DOI - 10.5633/amm.2015.0108

Subject(s) - pneumomediastinum , subcutaneous emphysema , medicine , mediastinal emphysema , surgery , radiology , intubation , complication , pneumothorax , computed tomography , multislice , mediastinum , endotracheal intubation

Tracheobronchial injury (TBI) is a rare complication occurring after endotracheal intubation. Treatment can be conservative for small lesions and when the patient’s condition is stable, or surgical for bigger lesions and when pneumomediastinum and/or subcutaneous emphysema threaten the patient’s life. Total thyroidectomy was performed in a 60-year-old woman with multinodular goiter. Ten hours after surgery, subcutaneous emphysema of the face and neck developed. A cervical and thoracic multislice computed tomography (MSCT) confirmed subcutaneous emphysema, pneumomediastinum, and posterior wall tracheal rupture 2cm in size. The patient was treated conservatively. The MSCT imaging can be a useful method for diagnosing the location and form of tracheal injury in hemodynamically stable patients

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