Pharyngeal perforation during therapeutic endoscopy procedure. Case report

  • Humberto Fernández-Ramos ESE, Hospital Departamental San Antonio de Pitalito, Huila, Colombia
  • Edid Fabián González-Guzmán ESE, Hospital Departamental San Antonio de Pitalito, Huila, Colombia
  • Heilén María Ramos-Montero ESE, Hospital Departamental San Antonio de Pitalito, Huila, Colombia
  • Diego Armando Gualy-Cuchimba ESE, Hospital Departamental San Antonio de Pitalito, Huila, Colombia
  • Víctor Humberto Guerrero-Legro ESE, Hospital Departamental San Antonio de Pitalito, Huila, Colombia
Keywords: Subcutaneous emphysema, Endoscopy, Airway management, Intubation, Pharynx

Abstract

The pharynx is a musculomembranous tube common to the upper respiratory tract and the initial segment of the GI tract. Any endoscopic therapeutic procedure requires the participation of a competent anesthetist to secure the patency and control of the airway, upon the induction of general anesthesia that blocks the protective reflexes and hence prevents the passage of the GI contents into the lower respiratory tract. The endoscopist is required to be cautious in the use of the technique to accomplish the objective.

A clinical case of a failed endoscopic therapeutic procedure presenting subcutaneous emphysema, suggestive of a perforation is discussed. In order to define the topography and to make a differential diagnosis of the lesion, a clinical signs sequence is conducted that revealed a perforation of the posterior pharynx, then confirmed using endoscopic imaging. An algorithm is suggested to make the differential diagnosis between an intra and an extra-glottic perforation.

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How to Cite
1.
Fernández-Ramos H, González-Guzmán EF, Ramos-Montero HM, Gualy-Cuchimba DA, Guerrero-Legro VH. Pharyngeal perforation during therapeutic endoscopy procedure. Case report. Colomb. J. Anesthesiol. [Internet]. 2017Apr.1 [cited 2021May12];45(Supplement):21 -25. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/442

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Published
2017-04-01
How to Cite
1.
Fernández-Ramos H, González-Guzmán EF, Ramos-Montero HM, Gualy-Cuchimba DA, Guerrero-Legro VH. Pharyngeal perforation during therapeutic endoscopy procedure. Case report. Colomb. J. Anesthesiol. [Internet]. 2017Apr.1 [cited 2021May12];45(Supplement):21 -25. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/442
Section
Case Report / Case Series

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