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Anesth Pain Med > Volume 10(1); 2015 > Article
Neuroanesthesia
Anesthesia and Pain Medicine 2015;10(1):32-35.
DOI: https://doi.org/10.17085/apm.2015.10.1.32    Published online January 31, 2015.
Tracheal injury as a perforation of a newly formed tracheal diverticulum after tracheal intubation: A case report
Yoo Kang, Yong Kyung Lee, Hong Sik Lee, Young Keun Chae, Sang eun Lee, Jinhye Min
Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea. jhmin@kd.ac.kr
Received: 8 May 2014   • Revised: 21 May 2014   • Accepted: 19 June 2014
Abstract
Although tracheal injury after tracheal intubation has been reported often, the formation of acquired tracheal diverticulum as the complications of intubation has not been reported before. In a 57-year-old woman, emergency coil embolization was performed for the treatment of a ruptured cerebral aneurysm. Then, the over-ballooning of an endotracheal tube cuff and deep intubation were observed on a chest X-ray. So, the tube was re-ballooned and re-positioned before surgery. Five hours after extubation in the intensive care unit at postoperative 5 days, a perforation of the tracheal diverticulum wall, leading to subcutaneous emphysema around her neck and pneumomediastinum, was diagnosed using CT and bronchoscopy. The cause of the tracheal diverticulum was suspected over-ballooning of the endotracheal tube cuff because the diverticulum site and size were the same as those of the over-ballooning cuff.
Key Words: Airway, Diverticulum, Intubation, Pneumomediastinum, Subcutaneous emphysema, Trachea


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