Suffocation due to Thoracic Deformity Caused by Acromegaly

A 61-year-old man with gigantism and acromegaly choked and fell into a coma. Immediate tracheal intubation resulted in a return of his consciousness. Enhanced computed tomography indicated that the trachea and left main bronchus were compressed by the thoracic spine and sternum. He required tracheot...

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Detalles Bibliográficos
Autores principales: Yoshizawa, Toshihiko, Iwazaki, Masayuki, Jitsuiki, Kei, Ishikawa, Kouhei, Ohsaka, Hiromichi, Yanagawa, Youichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465413/
https://www.ncbi.nlm.nih.gov/pubmed/28420845
http://dx.doi.org/10.2169/internalmedicine.56.7615
Descripción
Sumario:A 61-year-old man with gigantism and acromegaly choked and fell into a coma. Immediate tracheal intubation resulted in a return of his consciousness. Enhanced computed tomography indicated that the trachea and left main bronchus were compressed by the thoracic spine and sternum. He required tracheotomy and positive end-expiratory pressure to maintain his pulmonary function. This is the first case of suffocation due to a thoracic deformity associated with acromegaly. Physicians should focus on clearing the tracheal airway using computed tomography to elucidate the anatomical relationship between the trachea and surrounding structures in acromegalic patients suffering from dyspnea.

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