Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication
Adenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericard...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/4531364 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556840416706560 |
|---|---|
| author | Feride Fatma Görgülü Ayşe Selcan Koç Orhan Görgülü |
| author_facet | Feride Fatma Görgülü Ayşe Selcan Koç Orhan Görgülü |
| author_sort | Feride Fatma Görgülü |
| collection | DOAJ |
| description | Adenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericardium, and epidural pneumatosis are an extremely unusual condition in children with adenotonsillectomy. Treatment should be conservative in the majority of cases and based on benign self-limiting course of these diseases; early recognition can prevent further complications. The combination of pneumomediastinum with epidural pneumatosis, pneumopericardium, retropharyngeal-prevertebral pneumatosis, axillar-perihumeral pneumatosis, and subcutaneous emphysema is also a very rare condition. We present a unique case with the radiological findings of air in all of these areas in a 6-year-old male child with adenotonsillectomy. The case was unusual in that the patient developed this complication 3 hours later after adenotonsillectomy with severe vomitting. The possible mechanism, the algorithm of treatment, and precautions in such cases will be discussed. |
| format | Article |
| id | doaj-art-9e64f6fc397640f0aa8b04d03f8f2a56 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-9e64f6fc397640f0aa8b04d03f8f2a562025-02-03T05:44:14ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/45313644531364Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare ComplicationFeride Fatma Görgülü0Ayşe Selcan Koç1Orhan Görgülü2Radiology Department, Adana City Research and Training Hospital, University of Health Sciences, Adana, TurkeyRadiology Department, Adana City Research and Training Hospital, University of Health Sciences, Adana, TurkeyOtorhinolaryngology Department, Adana City Research and Training Hospital, University of Health Sciences, Adana, TurkeyAdenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericardium, and epidural pneumatosis are an extremely unusual condition in children with adenotonsillectomy. Treatment should be conservative in the majority of cases and based on benign self-limiting course of these diseases; early recognition can prevent further complications. The combination of pneumomediastinum with epidural pneumatosis, pneumopericardium, retropharyngeal-prevertebral pneumatosis, axillar-perihumeral pneumatosis, and subcutaneous emphysema is also a very rare condition. We present a unique case with the radiological findings of air in all of these areas in a 6-year-old male child with adenotonsillectomy. The case was unusual in that the patient developed this complication 3 hours later after adenotonsillectomy with severe vomitting. The possible mechanism, the algorithm of treatment, and precautions in such cases will be discussed.http://dx.doi.org/10.1155/2018/4531364 |
| spellingShingle | Feride Fatma Görgülü Ayşe Selcan Koç Orhan Görgülü Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication Case Reports in Otolaryngology |
| title | Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication |
| title_full | Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication |
| title_fullStr | Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication |
| title_full_unstemmed | Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication |
| title_short | Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication |
| title_sort | pneumomediastinum pneumopericardium and epidural pneumatosis following adenotonsillectomy a very rare complication |
| url | http://dx.doi.org/10.1155/2018/4531364 |
| work_keys_str_mv | AT feridefatmagorgulu pneumomediastinumpneumopericardiumandepiduralpneumatosisfollowingadenotonsillectomyaveryrarecomplication AT ayseselcankoc pneumomediastinumpneumopericardiumandepiduralpneumatosisfollowingadenotonsillectomyaveryrarecomplication AT orhangorgulu pneumomediastinumpneumopericardiumandepiduralpneumatosisfollowingadenotonsillectomyaveryrarecomplication |