A Case of Pneumomediastinum and Pneumoperitoneum with Concurrent Massive Subcutaneous Emphysema due to Repositioning of a Tracheostomy Tube.

mechanical ventilation pneumomediastinum pneumoperitoneum spontaneous pneumomediastinum spontaneous pneumoperitoneum subcutaneous emphysema tracheal tube tracheostomy ventilator management

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
14 Jan 2019
Historique:
entrez: 23 3 2019
pubmed: 23 3 2019
medline: 23 3 2019
Statut: epublish

Résumé

Tracheostomy is a common procedure seen in critically ill patients that require long term ventilatory support. As with all airway access procedures, tracheotomy with prolonged tracheal tube placement comes with possible risks such as tracheal scarring, tracheal rupture, pneumothorax, tracheoesophageal fistula among others. Another possible complication, though rare, is escape of free air into the surrounding tissue, as well as pneumomediastinum (PM). This may occur due to various reasons, some of them being tracheal rupture, barotrauma or tracheal tube mispositioning. Pneumomediastinum may present with concurrent free air in other body cavities such as the peritoneum, thorax or subcutaneous tissue. Though often not life-threatening it may require treatment including high flow oxygen, ventilator management or occasionally, surgical intervention. Herein we describe a rare case of PM with communicating pneumoperitoneum and massive subcutaneous emphysema due to tracheal tube mispositioning along with a review of the literature.

Identifiants

pubmed: 30899632
doi: 10.7759/cureus.3881
pmc: PMC6420328
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e3881

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Karim O Elkholy (KO)

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Hamza Akhtar (H)

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Eric Landa (E)

Internal Medicine, Ross University School of Medicine, Bridgetown, BRB.

Yury Malyshev (Y)

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Sonu Sahni (S)

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Classifications MeSH