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Traumatic retropharyngeal hematoma: a case report
1Department of Otolaryngology, West Virginia University Hospital, Morgantown 26506, USA.
Summary
A retropharyngeal hematoma in an elderly man, caused by cervical hyperextension injury, led to breathing difficulties. Surgical drainage and cauterization of a bleeding vessel resulted in a full recovery.
Area of Science:
- Traumatology
- Vascular Surgery
- Emergency Medicine
Background:
- Cervical hyperextension injuries can lead to serious complications.
- Retropharyngeal hematomas are rare but potentially life-threatening conditions.
- Elderly patients may present with atypical symptoms following trauma.
Observation:
- An elderly male sustained a cervical hyperextension injury.
- Progressive hoarseness, dysphagia, and dyspnea indicated a developing retropharyngeal hematoma.
- The patient required endotracheal intubation and tracheostomy due to airway compromise.
Findings:
- A retropharyngeal hematoma was identified as the cause of the patient's symptoms.
- Surgical exploration via a lateral cervical approach successfully drained the hematoma.
- A bleeding vessel associated with an anterior spinous ligament tear was identified and cauterized.
Implications:
- Prompt diagnosis and surgical intervention are crucial for managing retropharyngeal hematomas.
- A lateral cervical approach is a viable surgical option for hematoma drainage.
- Successful management can lead to complete recovery even in elderly patients with significant airway compromise.