Tracheal injury characterized by subcutaneous emphysema and dyspnea after improper placement of a Sengstaken-Blakemore tube: A case report.

ABSTRACT:

Rationale

Tracheal injury characterized by subcutaneous emphysema and dyspnea can occur following the use of a Sengstaken-Blakemore tube. Should tracheal injury occur, it may be possible to manage resultant airway obstruction with a tracheal stent.

Patient concerns

We describe the case of a 51-year-old patient who developed a tracheal injury when a Sengstaken-Blakemore tube was inadvertently inserted into the patient's trachea.

Diagnoses

Liver cirrhosis, gastric-fundus variceal bleeding, tracheal injury.

Interventions

Polyglycol and tissue glue were injected intravenously, and endoscopic variceal ligation was performed. A Sengstaken-Blakemore tube was used to stop the bleeding. A covered tracheal stent was placed via fiberoptic bronchoscopy to relieve the tracheal injury due to improper placement of a Sengstaken-Blakemore tube.

Outcomes

After placement of the tracheal stent, the patient was able to breathe spontaneously and subsequently recovered.

Lessons

Some precautions must be taken to avoid placing a Sengstaken-Blakemore tube in the trachea. If a tracheal injury occurs following misplacement of a Sengstaken-Blakemore tube, it may be possible to manage resultant airway obstruction by placing a tracheal stent.

SUBMITTER: Wang HS 

PROVIDER: S-EPMC6078672 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature