Journal
MEDICINE
Volume 97, Issue 30, Pages -Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000011289
Keywords
Sengstaken-Blakemore tube; tracheal injury; dyspnea; subcutaneous emphysema; tracheal stent
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Funding
- Project of Standard Diagnosis and Treatment of Key Disease of Jiangsu Province [BE2015722]
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Rationale:Tracheal injury characterized by subcutaneous emphysema and dyspnea can occur following the use of a Sengstaken-Blakemore tube. Should tracheal injury occur, it may be possible to manage resultant airway obstruction with a tracheal stent.Patient concerns:We describe the case of a 51-year-old patient who developed a tracheal injury when a Sengstaken-Blakemore tube was inadvertently inserted into the patient's trachea.Diagnoses:Liver cirrhosis, gastric-fundus variceal bleeding, tracheal injury.Interventions:Polyglycol and tissue glue were injected intravenously, and endoscopic variceal ligation was performed. A Sengstaken-Blakemore tube was used to stop the bleeding. A covered tracheal stent was placed via fiberoptic bronchoscopy to relieve the tracheal injury due to improper placement of a Sengstaken-Blakemore tube.Outcomes:After placement of the tracheal stent, the patient was able to breathe spontaneously and subsequently recovered.Lessons:Some precautions must be taken to avoid placing a Sengstaken-Blakemore tube in the trachea. If a tracheal injury occurs following misplacement of a Sengstaken-Blakemore tube, it may be possible to manage resultant airway obstruction by placing a tracheal stent.
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