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
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author Yoshizawa, Toshihiko
Iwazaki, Masayuki
Jitsuiki, Kei
Ishikawa, Kouhei
Ohsaka, Hiromichi
Yanagawa, Youichi
author_facet Yoshizawa, Toshihiko
Iwazaki, Masayuki
Jitsuiki, Kei
Ishikawa, Kouhei
Ohsaka, Hiromichi
Yanagawa, Youichi
author_sort Yoshizawa, Toshihiko
collection PubMed
description 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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spelling pubmed-54654132017-06-19 Suffocation due to Thoracic Deformity Caused by Acromegaly Yoshizawa, Toshihiko Iwazaki, Masayuki Jitsuiki, Kei Ishikawa, Kouhei Ohsaka, Hiromichi Yanagawa, Youichi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2017-04-15 /pmc/articles/PMC5465413/ /pubmed/28420845 http://dx.doi.org/10.2169/internalmedicine.56.7615 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yoshizawa, Toshihiko
Iwazaki, Masayuki
Jitsuiki, Kei
Ishikawa, Kouhei
Ohsaka, Hiromichi
Yanagawa, Youichi
Suffocation due to Thoracic Deformity Caused by Acromegaly
title Suffocation due to Thoracic Deformity Caused by Acromegaly
title_full Suffocation due to Thoracic Deformity Caused by Acromegaly
title_fullStr Suffocation due to Thoracic Deformity Caused by Acromegaly
title_full_unstemmed Suffocation due to Thoracic Deformity Caused by Acromegaly
title_short Suffocation due to Thoracic Deformity Caused by Acromegaly
title_sort suffocation due to thoracic deformity caused by acromegaly
topic Case Report
url 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
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