Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-29T13:40:57.364Z Has data issue: false hasContentIssue false
  • English
  • Français

Life-threatening cervico-mediastinal haematoma after carotid sinus massage

Published online by Cambridge University Press:  29 June 2007

Manuel D. Tomás ,
Alberto Torres ,
Julio García-Polo  and
César Gavilán
Manuel D. Tomás*
Affiliation:
Department of Otorhinolaryngology.
Alberto Torres
Affiliation:
Department of Nephrology, Hospital La Paz, Universidad Autonoma de Medicina, Madrid.
Julio García-Polo
Affiliation:
Department of Otorhinolaryngology.
César Gavilán
Affiliation:
Department of Otorhinolaryngology.
*
Dr Manuel D. Tomás, c/o Pez Volador 36 1B, 28007 Madrid, Spain.
Get access Rights & Permissions [Opens in a new window]

Abstract

Retropharyngeal and cervico-mediastinal haematomas are rare but potentially fatal entities. The potential for airway compression necessitates rapid assessment and treatment.

A cervico-mediastinal haematoma following carotid sinus massage which required cervical drainage is presented. This is a life-threatening event demanding a high index of suspicion. A review of the literature and indications for treatment are discussed.

Keywords

HaematomaCarotid sinus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 5 , May 1991 , pp. 381 - 383
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alexander, M. D., Trail, M. L. (1968) Vascular complications of deep neck abscesses. Laryngoscope, 78: 361–370.CrossRefGoogle ScholarPubMed
Clark, W. G. B., Monks, C. J. (1969) Retropharyngeal haematoma. Journal of Laryngology and Otology, 83; 1039–1042.CrossRefGoogle ScholarPubMed
Coleman, J. A., Johnson, J. T. (1986) Retropharyngeal haematoma: Complication of cervical fracture. Otolaryngology, Head and Neck Surgery, 94: 387–390.CrossRefGoogle ScholarPubMed
Field, J. R. (1965) Retropharyngeal haemorrhage with respiratory obstruction following arteriography. Journal of Neurosurgery, 22: 610–611.CrossRefGoogle Scholar
Genovesi, M. G., Simmons, D. H. (1975) Airway obstruction due to spontaneous retropharyngeal haemorrhage. Chest, 68: 840–842.CrossRefGoogle Scholar
Oliphant, M., Wiot, J. F., Whalen, J. P. (1976) Thecervicomediastinum continuum (1). Radiology, 120: 257–262.CrossRefGoogle Scholar
O.Neil, J. V., Toomey, J. M., Snyder, G. C. (1977) Retropharyngeal haematoma secondary to minor blunt trauma in the elderly patient. Journal of Otolaryngology, 6: 43–46.Google Scholar
Owens, D. E., Calcaterra, T. C., Aarstad, R. A. (1975) Retropharyngeal haematoma: a complication of therapy with anticoagulants. Archives of Otolaryngology, 101: 565–568.CrossRefGoogle ScholarPubMed
Myssiorek, D., Shalmi, C. (1989) Traumatic retropharyngeal haematoma. Archives of Otolaryngology, 115: 1130–1132.CrossRefGoogle Scholar
Reussi, C., Schiavi, J. E., Altman, R. (1969) Unusual complications in the course of anticoagulant therapy. American Journal of Medicine, 46: 460–463.CrossRefGoogle ScholarPubMed
Rosenbaum, L., Thurman, P., Krantz, S. B. (1979) Upper airway obstruction as a complication of oral anticoagulation therapy. Report of three cases. Archives of Internal Medicine, 139: 1151–1153.CrossRefGoogle ScholarPubMed
Schroder, K. E., Mair, I. W. S. (1978) Spontaneous haematoma in the head and neck. Journal of Laryngology and Otology, 92: 215–221.CrossRefGoogle ScholarPubMed
Weaver, D. F., Young, D. J. (1964) Retropharyngeal haemorrhage from carotid arteries. Annals of Otology, Rhinology, and Laryngology, 73: 541–554.CrossRefGoogle ScholarPubMed
Wong, Y. K., Novotny, G. M. (1978) Retropharyngeal space. A review of anatomy, pathology and clinical presentation. Journal of Otolaryngology, 7: 527–536.Google ScholarPubMed