Gastric rupture after awake fibreoptic intubation in a patient with laryngeal carcinoma.
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.
Ho
C-M
CM
Department of Anaesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan. cmho@vghtpe.gov.tw
Yin
I-W
IW
Tsou
K-F
KF
Chow
L-H
LH
Tsai
S-K
SK
D000368:Aged; D000369:Aged, 80 and over; D005336:Fiber Optic Technology; D006801:Humans; D007431:Intraoperative Complications; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011027:Pneumoperitoneum / Q000209:etiology; D013275:Stomach Rupture / Q000209:etiology*