Abstract
PHARYNGEAL HEMORRHAGE: A CATASTROPHIC POST-OPERATIVE EVENT

*Giulio Rizzoli MD FETCS and Ivo Tiberio MD

ABSTRACT

Hematoma of pharyngeal muscles is an unknown and potentially fatal cause of airway obstruction. We report a case of a 71 year old woman who received a long lasting combined, carotid + CABG, operation and developed severe dispnoea and stridor post extubation. Underwent an unrecognized esophageal intubation and died of brain edema. Autopsy showed the presence of massive hematoma of the pharyngeal muscles, possibly related to minor pharyngoesophageal trauma in a double anti-aggregated patient.

Keywords: esophageal intubation, pharyngeal hematoma.


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