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Life-threatening cervico-mediastinal haematoma after carotid sinus massage

Published online by Cambridge University Press:  29 June 2007

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.

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.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1991

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References

Alexander, M. D., Trail, M. L. (1968) Vascular complications of deep neck abscesses. Laryngoscope, 78: 361370.CrossRefGoogle ScholarPubMed
Clark, W. G. B., Monks, C. J. (1969) Retropharyngeal haematoma. Journal of Laryngology and Otology, 83; 10391042.CrossRefGoogle ScholarPubMed
Coleman, J. A., Johnson, J. T. (1986) Retropharyngeal haematoma: Complication of cervical fracture. Otolaryngology, Head and Neck Surgery, 94: 387390.CrossRefGoogle ScholarPubMed
Field, J. R. (1965) Retropharyngeal haemorrhage with respiratory obstruction following arteriography. Journal of Neurosurgery, 22: 610611.CrossRefGoogle Scholar
Genovesi, M. G., Simmons, D. H. (1975) Airway obstruction due to spontaneous retropharyngeal haemorrhage. Chest, 68: 840842.CrossRefGoogle Scholar
Oliphant, M., Wiot, J. F., Whalen, J. P. (1976) Thecervicomediastinum continuum (1). Radiology, 120: 257262.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: 4346.Google Scholar
Owens, D. E., Calcaterra, T. C., Aarstad, R. A. (1975) Retropharyngeal haematoma: a complication of therapy with anticoagulants. Archives of Otolaryngology, 101: 565568.CrossRefGoogle ScholarPubMed
Myssiorek, D., Shalmi, C. (1989) Traumatic retropharyngeal haematoma. Archives of Otolaryngology, 115: 11301132.CrossRefGoogle Scholar
Reussi, C., Schiavi, J. E., Altman, R. (1969) Unusual complications in the course of anticoagulant therapy. American Journal of Medicine, 46: 460463.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: 11511153.CrossRefGoogle ScholarPubMed
Schroder, K. E., Mair, I. W. S. (1978) Spontaneous haematoma in the head and neck. Journal of Laryngology and Otology, 92: 215221.CrossRefGoogle ScholarPubMed
Weaver, D. F., Young, D. J. (1964) Retropharyngeal haemorrhage from carotid arteries. Annals of Otology, Rhinology, and Laryngology, 73: 541554.CrossRefGoogle ScholarPubMed
Wong, Y. K., Novotny, G. M. (1978) Retropharyngeal space. A review of anatomy, pathology and clinical presentation. Journal of Otolaryngology, 7: 527536.Google ScholarPubMed