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Bilateral pneumothoraces in a patient with laryngeal carcinoma following tracheostomy for stridor.

Lodhia, Joshil Vinod and Ismail, Iyad and Christensen, Thomas D (2014) Bilateral pneumothoraces in a patient with laryngeal carcinoma following tracheostomy for stridor. BMJ case reports, 2014. ISSN 1757-790X. This article is available is accessible to all HEFT staff and students via NICE journals and databases http://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases by using their HEFT Athens login IDs

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Official URL: http://casereports.bmj.com/content/2014/bcr-2013-2...

Abstract

A pneumothorax following a tracheostomy is a known but rare complication. Bilateral pneumothoraces are rarer still and very few are described in the literature. We present a case of bilateral pneumothoraces following an emergency tracheostomy in a female patient with known laryngeal carcinoma. She was managed with bilateral intercostal chest drains (ICDs) with good result. Anatomical integrity of the oesophagus was confirmed using barium swallow. Prior to removal of the drains a CT scan of the thorax was performed that showed disease progression and led to a change in the initial curative plan. We emphasise the importance in early diagnosis of this complication with a low index of suspicion. We suggest regular monitoring and a low threshold for treatment with bilateral ICDs.

Item Type: Article
Additional Information: This article is available is accessible to all HEFT staff and students via NICE journals and databases http://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases by using their HEFT Athens login IDs
Subjects: WF Respiratory system. Respiratory medicine
Divisions: Planned IP Care > Respiratory Medicine
Planned IP Care > Thoracic Surgery
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Depositing User: Mrs Yolande Brookes
Date Deposited: 16 Apr 2015 11:10
Last Modified: 16 Apr 2015 11:10
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/846

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