title: Hypopharyngeal perforation: an uncommon cause of pneumoperitoneum.
abstract: Endotracheal intubation is common practice being performed both electively and as an emergency. Complications of this procedure are uncommon. A case is described of hypopharyngeal rupture after emergency intubation that presented with a pneumoperitoneum. The clinical signs, relevant investigations and management options are discussed for this injury and the need is emphasised for a high index of suspicion in order to make an early diagnosis.
authors.affiliation: Department of Surgery, Tameside General Hospital, Ashton under Lyne, Lancashire, UK. sean.woodcock@virgin.net
authors.forename: S A
authors.initials: SA
authors.lastname: Woodcock
authors.forename: H
authors.initials: H
authors.lastname: Bird
authors.forename: A K
authors.initials: AK
authors.lastname: Siriwardena
authors.forename: S
authors.initials: S
authors.lastname: Ellenbogen
mesh_terms: D000293:Adolescent; D017809:Fatal Outcome; D006801:Humans; D007013:Hypopharynx / Q000000981:diagnostic imaging / Q000293:injuries*; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology*