A case of severe tracheal stenosis after short-duration endotracheal intubation

Yıl 2024, Cilt: 15 Sayı: 3, 74 - 76, 22.09.2024

Ömer Jaradat , Zamir Kemal Ertürk , Handegül Jaradat

https://doi.org/10.33706/jemcr.1490882

Öz

Abstract:
Introduction: Post-intubation tracheal stenosis is a rare but severe condition that occurs after long-term intubation. In this study, we highlight the case of a male patient who experienced severe tracheal stenosis after a brief period of endotracheal intubation.
Case Report: A 37-year-old man presented to the emergency department complaining of difficulty breathing with stridor; upon examination, the patient was noted to have stridor during both inspiration and expiration. It was discovered that ten weeks ago, he was admitted to the hospital following a motor vehicle accident and required mechanical ventilation for nine days. Given this medical history, a contrast-enhanced CT imaging of the neck was performed, which revealed grade III tracheal stenosis. The patient was transferred to a specialized center, where he underwent successful tracheal stenting.
Conclusion: This case report underscores the importance of inquiring about tracheal intubation history in patients who present to the emergency department with respiratory symptoms.

Anahtar Kelimeler

Tracheal stenosis, endotracheal intubation, stridor, medical history

Kaynakça

• 1. Nesek-Adam V, Mrsić V, Oberhofer D, Grizelj-Stojcić E, Kosuta D, Rasić Z. Post-intubation long-segment tracheal stenosis of the posterior wall: a case report and review of the literature. J Anesth 2010; 24: 621-5. doi: 10.1007/s00540-010-0956-8. Epub 2010 May 8. PMID: 20454809.
• 2. Grillo HC. Surgery of the trachea and bronchi. Shelton: PMPH USA, 2004.
• 3. Ramalingam H, Sharma A, Pathak V, Narayanan B, Rathod DK. Delayed Diagnosis of Postintubation Tracheal Stenosis due to the Coronavirus Disease 2019 Pandemic: A Case Report. A APract 2020; 14: e01269. doi:10.1213/ XAA.0000000000001269
• 4. Nouraei SA, Ma E, Patel A, Howard DJ, Sandhu GS. Estimating the population incidence of adult post-intubation laryngotracheal stenosis. Clin Otolaryngol 2007; 32: 411-2. doi: 10.1111/j.1749-4486.2007.01484.x. PMID: 17883582.
• 5. Majid A, Guerrero J, Gangadharan S, Feller-Kopman D, Boiselle P, DeCamp M, et al. Tracheobronchoplasty for severe tracheobronchomalacia: a prospective outcome analysis. Chest 2008; 134: 801-807. doi: 10.1378/chest.08-0728. PMID: 18842912.
• 6. Zarogoulidis P, Kontakiotis T, Tsakiridis K, Karanikas M, Simoglou C, Porpodis K, et al. Difficult airway and difficult intubation in postintubation tracheal stenosis: a case report and literature review. Ther Clin Risk Manag 2012; 8: 279- 86. doi: 10.2147/TCRM.S31684. Epub 2012 Jun 27. PMID: 22802693; PMCID: PMC3395408.
• 7. Liu J, Zhang CP, Li Y, Dong S. Post-intubation tracheal stenosis after management of complicated aortic dissection: a case series. J Cardiothorac Surg 2015; 10: 148. doi: 10.1186/ s13019-015-0357-z. PMID: 26537875; PMCID: PMC4632458.
• 8. Heffner JE. Timing of tracheotomy in ventilator-dependent patients. Clin Chest Med 1991 ; 12: 611-25. PMID: 1934961.
• 9. Papla B, Dyduch G, Frasik W, Olechnowicz H. Post-intubation tracheal stenosis-morphological-clinical investigations. Pol J Pathol 2003; 54: 261-6. PMID: 14998295.
• 10. Stauffer JL, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 1981; 70: 65-