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Pneumo-thorax/mediastinum/(retro)peritoneum/ scrotum – a full house of complications following JET ventilation

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ABSTRACT

We present a patient who presented to our clinic with airway obstruction secondary to oropharygeal cancer. He underwent emergent tracheostomy with JET ventilation, the latter resulting in a "full house" of barotraumatic complications including pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and pneumo-scrotum. Free air, while sometimes dramatic as in our case, need not always be a cause for alarm and can often be managed expectantly. Our patient was treated with only a chest drain and otherwise made an uneventful recovery.

No MeSH data available.


Related in: MedlinePlus

Chest X-ray showing large right sided pneumothorax, pneumo-mediastinum and bilateral sub-diaphragmatic free air.
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Figure 1: Chest X-ray showing large right sided pneumothorax, pneumo-mediastinum and bilateral sub-diaphragmatic free air.

Mentions: Post-operatively, the patient continued to have breathing difficulties and chest auscultation revealed reduced breath sounds on the right together with a hyper-expanded and hyper-resonant right chest. Chest X-ray (Fig. 1) confirmed clinical diagnosis of a pneumothorax and 20 ch chest drain was placed in standard fashion. The chest Xray also showed bilateral sub-diaphragmatic free air and pneumo-mediastinum. Repeat chest X-ray showed appropriate placement of the chest drain and the lung to have re-expanded (not shown).


Pneumo-thorax/mediastinum/(retro)peritoneum/ scrotum – a full house of complications following JET ventilation
Chest X-ray showing large right sided pneumothorax, pneumo-mediastinum and bilateral sub-diaphragmatic free air.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5384314&req=5

Figure 1: Chest X-ray showing large right sided pneumothorax, pneumo-mediastinum and bilateral sub-diaphragmatic free air.
Mentions: Post-operatively, the patient continued to have breathing difficulties and chest auscultation revealed reduced breath sounds on the right together with a hyper-expanded and hyper-resonant right chest. Chest X-ray (Fig. 1) confirmed clinical diagnosis of a pneumothorax and 20 ch chest drain was placed in standard fashion. The chest Xray also showed bilateral sub-diaphragmatic free air and pneumo-mediastinum. Repeat chest X-ray showed appropriate placement of the chest drain and the lung to have re-expanded (not shown).

View Article: PubMed Central - PubMed

ABSTRACT

We present a patient who presented to our clinic with airway obstruction secondary to oropharygeal cancer. He underwent emergent tracheostomy with JET ventilation, the latter resulting in a "full house" of barotraumatic complications including pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and pneumo-scrotum. Free air, while sometimes dramatic as in our case, need not always be a cause for alarm and can often be managed expectantly. Our patient was treated with only a chest drain and otherwise made an uneventful recovery.

No MeSH data available.


Related in: MedlinePlus