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Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study
BACKGROUND: Retropharyngeal hematoma is a rare condition that is difficult to diagnose and may progress rapidly to airway obstruction. The authors report the first known case of acute upper airway obstruction resulting from retropharyngeal hematoma in a dog. Documented causes in human medicine have...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600258/ https://www.ncbi.nlm.nih.gov/pubmed/26452479 http://dx.doi.org/10.1186/s12917-015-0574-7 |
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author | Vieitez, Verónica Martín-Cuervo, María López-Ramis, Víctor Ezquerra, Luis Javier |
author_facet | Vieitez, Verónica Martín-Cuervo, María López-Ramis, Víctor Ezquerra, Luis Javier |
author_sort | Vieitez, Verónica |
collection | PubMed |
description | BACKGROUND: Retropharyngeal hematoma is a rare condition that is difficult to diagnose and may progress rapidly to airway obstruction. The authors report the first known case of acute upper airway obstruction resulting from retropharyngeal hematoma in a dog. Documented causes in human medicine have included coagulopathic states, trauma, infection, parathyroid adenoma rupture, and foreign body ingestion. Vague symptoms in humans such as sore throat, shortness of breath, dysphonia, dysphagia, and neck swelling may precede lethal airway obstruction. CASE PRESENTATION: The authors report a case of an 18-month-old, intact female water spaniel with thrombocytopenia that developed a massive retropharyngeal hematoma and symptoms of airway compromise. The dog required tracheal intubation followed by surgical tracheostomy. Lateral cervical radiography and magnetic resonance imaging of the neck was consistent with a retropharyngeal hematoma compromising the airway. The retropharyngeal hematoma was managed conservatively. CONCLUSION: Retropharyngeal hematoma should be considered in patients presenting with abrupt respiratory distress. Magnetic resonance imaging allowed specific diagnosis of a rare condition that is otherwise difficult to diagnose. |
format | Online Article Text |
id | pubmed-4600258 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46002582015-10-11 Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study Vieitez, Verónica Martín-Cuervo, María López-Ramis, Víctor Ezquerra, Luis Javier BMC Vet Res Case Report BACKGROUND: Retropharyngeal hematoma is a rare condition that is difficult to diagnose and may progress rapidly to airway obstruction. The authors report the first known case of acute upper airway obstruction resulting from retropharyngeal hematoma in a dog. Documented causes in human medicine have included coagulopathic states, trauma, infection, parathyroid adenoma rupture, and foreign body ingestion. Vague symptoms in humans such as sore throat, shortness of breath, dysphonia, dysphagia, and neck swelling may precede lethal airway obstruction. CASE PRESENTATION: The authors report a case of an 18-month-old, intact female water spaniel with thrombocytopenia that developed a massive retropharyngeal hematoma and symptoms of airway compromise. The dog required tracheal intubation followed by surgical tracheostomy. Lateral cervical radiography and magnetic resonance imaging of the neck was consistent with a retropharyngeal hematoma compromising the airway. The retropharyngeal hematoma was managed conservatively. CONCLUSION: Retropharyngeal hematoma should be considered in patients presenting with abrupt respiratory distress. Magnetic resonance imaging allowed specific diagnosis of a rare condition that is otherwise difficult to diagnose. BioMed Central 2015-10-09 /pmc/articles/PMC4600258/ /pubmed/26452479 http://dx.doi.org/10.1186/s12917-015-0574-7 Text en © Vieitez et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Vieitez, Verónica Martín-Cuervo, María López-Ramis, Víctor Ezquerra, Luis Javier Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study |
title | Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study |
title_full | Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study |
title_fullStr | Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study |
title_full_unstemmed | Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study |
title_short | Acute upper airway obstruction due to retropharyngeal hematoma in a dog with Anaplasma species: a case study |
title_sort | acute upper airway obstruction due to retropharyngeal hematoma in a dog with anaplasma species: a case study |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600258/ https://www.ncbi.nlm.nih.gov/pubmed/26452479 http://dx.doi.org/10.1186/s12917-015-0574-7 |
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