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Volume 16 - September 1999

Contents

Page 9 of 10

(RD) Surgery

Case Report

Correspondence

Book Review

Case Report

  • An unusual complication of minitracheostomy

  • J. Browne, D. McShane, M. Donnelly
  • Published online by Cambridge University Press:
    16 August 2006, pp. 571-573

  • A 72-year-old woman had a minitracheostomy inserted for sputum retention. This was undertaken by a relatively junior resident who opted to use an early model minitracheostomy kit Minitrach II. The following day the patients condition deteriorated and intubation was warranted, at which time it was apparent to senior staff that the minitracheostomy had been malpositioned. Ten days later, formal tracheostomy was performed under general anaesthesia. After incision,an abscess in the thyroid gland was found. Histology subsequently revealed a Hurthle cell tumour of the thyroid. Thyroid abscess is exceedingly rare. It typically occurs in abnormal thyroid tissue and with a focus on infection. The combination of Hurthle cell adenoma and a foreign body (the minitracheostomy) was evidently causative in this instance. This complication of minitracheostomy insertion has not to our knowledge, previously been reported.

Correspondence

Announcement

Announcements

Correspondence

Case Report

  • Diaphragmatic rupture after epidural anaesthesia in a patient with diaphragmatic eventration

  • M. Faheem, A. Fayad
  • Published online by Cambridge University Press:
    16 August 2006, pp. 574-576

  • An 85-year-old man with undiagnosed eventration of the left hemidiaphragm had an above-knee amputation under epidural anaesthesia. His post-operative course was stormy with two episodes of cardiovascular collapse. On the third post-operative day, rupture of the left hemidiaphragm was diagnosed, the bowel had herniated into the left hemithorax. It is proposed that the left hemidiaphragm ruptured spontaneously because of muscular weakness secondary to the thoracic segmental blockade associated with lumber epidural anaesthesia.

Announcement

Correspondence

Announcement

Correspondence

Book Reviews

Page 9 of 10