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Gastric rupture after awake fibreoptic intubation in a patient with laryngeal carcinoma
Authors:Ho C-M  Yin I-W  Tsou K-F  Chow L-H  Tsai S-K
Affiliation:Department of Anaesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan
Abstract:An 86-yr-old man with recurrent laryngeal carcinoma developedgastric rupture after awake fibreoptic intubation before inductionof general anaesthesia. Early clinical signs included a distended,tense and tympanic abdomen with pain and massive pneumoperitoneum(chest radiograph). Laparotomy revealed a 4-cm longitudinalperforation along the lesser curvature of the stomach. Thiscase represents a rare but severe complication that may occurduring fibreoptic intubation in the awake patient.
Keywords:complications, gastric rupture   complications, intraoperative   complications, stomach rupture   intubation, fibreoptic   intubation, tracheal
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