Urgent colectomy in a patient with membranous tracheal disruption after severe vomiting.
We report a case of a patient who developed membranous tracheal disruption after severe vomiting. He subsequently required urgent colectomy for toxic megacolon under general anesthesia. With this challenging situation, we were able to successfully conduct general anesthesia in the presence of tracheal laceration, pneumothorax, and pneumomediastinum.
Irefin
S A
SA
Departments of General Anesthesiology and Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. Irefins@ccf.org
Farid
I S
IS
Senagore
A J
AJ
D000328:Adult; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000150:complications / Q000601:surgery; D004630:Emergencies; D006801:Humans; D008297:Male; D008532:Megacolon, Toxic / Q000150:complications / Q000601:surgery*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012422:Rupture, Spontaneous; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D014132:Trachea / Q000293:injuries*; D014839:Vomiting / Q000150:complications*