Gastric rupture after awake fibreoptic intubation in a patient with laryngeal carcinoma.
case_report · Level V
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- Record sourced from PubMed, PMID 15764626.
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Abstract
An 86-yr-old man with recurrent laryngeal carcinoma developed gastric rupture after awake fibreoptic intubation before induction of general anaesthesia. Early clinical signs included a distended, tense and tympanic abdomen with pain and massive pneumoperitoneum (chest radiograph). Laparotomy revealed a 4-cm longitudinal perforation along the lesser curvature of the stomach. This case represents a rare but severe complication that may occur during fibreoptic intubation in the awake patient.
Medical subject headings
- Fiber Optic Technology
- Intraoperative Complications
- Intubation, Intratracheal
- Laryngeal Neoplasms
- Stomach Rupture