The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지
DOI QR코드

DOI QR Code

Spontaneous Retropharyngeal Hematoma - A Case Report -

  • Kang, Sang-Soo (Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jung, Seung-Hwan (Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine) ;
  • Kim, Myoung-Sun (Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hong, Sung-Jun (Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Yoon, Young-Jun (Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Shin, Keun-Man (Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • Received : 2010.07.30
  • Accepted : 2010.08.03
  • Published : 2010.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

Spontaneous retropharyngeal hematoma is rare and difficult to diagnosis early. A 23-year-old male spontaneously developed acute onset of neck pain, limitation of neck motion, and mild dysphagia. Magnetic resonance imaging demonstrated blood products in prevertebral space from C2 to C4, suggesting a diagnosis of retropharyngeal hematoma. We report a rare case of spontaneous retropharyngeal hematoma causing neck pain.

Keywords

References

  1. Chin KW, Sercarz JA, Wang MB, Andrews R. Spontaneous cervical hemorrhage with near-complete airway obstruction. Head Neck 1998; 20: 350-3. https://doi.org/10.1002/(SICI)1097-0347(199807)20:4<350::AID-HED10>3.0.CO;2-M
  2. Bloom DC, Haegen T, Keefe MA. Anticoagulation and spontaneous retropharyngeal hematoma. J Emerg Med 2003; 24: 389-94. https://doi.org/10.1016/S0736-4679(03)00035-0
  3. DiFrancesco RC, Escamilla JS, Sennes LU, Voegles RL, Tsuji DH. Spontaneous cervical hematoma: a report of two cases. Ear Nose Throat J 1999; 78: 168, 171, 175.
  4. Muñ oz A, Fischbein NJ, de Vergas J, Crespo J, Alvarez- Vincent J. Spontaneous retropharyngeal hematoma: diagnosis by MR imaging. AJNR Am J Neuroradiol 2001; 22: 1209-11.
  5. Sandor F, Cooke RT. Spontaneous cervico-mediastinal haematoma. Br J Surg 1964; 51: 682-6. https://doi.org/10.1002/bjs.1800510909
  6. Higa K, Hirata K, Hirota K, Nitahara K, Shono S. Retropharyngeal hematoma after stellate ganglion block: analysis of 27 patients reported in the literature. Anesthesiology 2006; 105: 1238-45. https://doi.org/10.1097/00000542-200612000-00024
  7. Lazott LW, Ponzo JA, Puana RB, Artz KS, Ciceri DP, Culp WC Jr. Severe upper airway obstruction due to delayed retropharyngeal hematoma formation following blunt cervical trauma. BMC Anesthesiol 2007; 7: 2. https://doi.org/10.1186/1471-2253-7-2
  8. Penning L. Prevertebral hematoma in cervical spine injury: incidence and etiologic significance. AJR Am J Roentgenol 1981; 136: 553-61. https://doi.org/10.2214/ajr.136.3.553
  9. Rojas CA, Vermess D, Bertozzi JC, Whitlow J, Guidi C, Martinez CR. Normal thickness and appearance of the prevertebral soft tissues on multidetector CT. AJNR Am J Neuroradiol 2009; 30: 136-41. https://doi.org/10.3174/ajnr.A1709
  10. Haun CL. Retropharyngeal tendinitis. AJR Am J Roentgenol 1978; 130: 1137-40. https://doi.org/10.2214/ajr.130.6.1137
  11. Eastwood JD, Hudgins PA, Malone D. Retropharyngeal effusion in acute calcific prevertebral tendinitis: diagnosis with CT and MR imaging. AJNR Am J Neuroradiol 1998; 19: 1789-92.
  12. Duvillard C, Ballester M, Romanet P. Traumatic retropharyngeal hematoma: a rare and critical pathology needed for early diagnosis. Eur Arch Otorhinolaryngol 2005; 262: 713-5. https://doi.org/10.1007/s00405-004-0767-3

Cited by

  1. Spontaneous Retropharyngeal Haematoma in a One-Year-Old Child: A Case Report vol.03, pp.05, 2014, https://doi.org/10.4236/crcm.2014.35062
  2. Acute airway obstruction due to retropharyngeal haematoma caused by a large fish bone in a patient with hypertension caused by a pheochromocytoma vol.2015, pp.mar10 1, 2015, https://doi.org/10.1136/bcr-2014-208644
  3. Spontaneous Retropharyngeal Hematoma: A Case Report and Literature Overview vol.70, pp.2, 2014, https://doi.org/10.3348/jksr.2014.70.2.87
  4. Retropharyngeal Hematoma as an Unusual Presentation of Myelodysplastic Syndrome: A Case Report vol.19, pp.None, 2010, https://doi.org/10.12659/ajcr.909502