Gastric rupture after awake fibreoptic intubation in a patient with laryngeal carcinoma |
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Authors: | Ho C-M Yin I-W Tsou K-F Chow L-H Tsai S-K |
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Affiliation: | Department of Anaesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan |
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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. |
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Keywords: | complications, gastric rupture complications, intraoperative complications, stomach rupture intubation, fibreoptic intubation, tracheal |
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