Rare cause of acute neck hematoma

Alfraidy, Doaa; Helmi, Hadeel; Alghamdi, M A; Bokhari, Areej; Alsaif, Abdulaziz

doi:10.1002/ccr3.2248

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Tumor was also considered as a differential diagnosis, although it was unlikely because of the rapid progression of symptoms over a few hours. In addition, the patient had no history of trauma or irradiation; thus, we suspected a disruption of a peripheral branch of the cervical artery or bleeding from the parathyroid gland, which has been reported in numerous cases [2][3][4].…”

Section: Case Presentationmentioning

confidence: 94%

Idiopathic common carotid artery laceration with no history of trauma

Suzuki

Koda

Kuriyama

et al. 2022

Preprint

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Section: Case Presentationmentioning

confidence: 94%

Idiopathic common carotid artery laceration with no history of trauma

Suzuki

Koda

Kuriyama

et al. 2022

Preprint

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“…Neck hematomas originate from capillary leakage and venous or arterial bleeding, usually caused by trauma, surgery, or tumors [1][2][3][4] . Although central venous catheterization (CVC) of internal jugular vein is a commonly performed and usually uneventful procedure in day-to-day clinical practice, it could be the cause of neck hematoma development.…”

Section: Introductionmentioning

confidence: 99%

Neck Hematoma after Central Venous Catheterization and Awake Intubation as Rescue Airway Management Technique: A Case Report

Mrčelić

2023

ACC

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Central venous catheterization (CVC) of the internal jugular vein is an invasive procedure commonly performed in anesthesiology practice. Usually it is an uneventful procedure but complications such as bleeding, infection, and potential damage to the surrounding structures can occur. One of the complications is neck hematoma, which can distort airway anatomy and cause upper airway obstruction. We present a patient who underwent endovascular mitral valve repairment procedure under general anesthesia. Accidental puncture of carotid artery occurred while attempting to place the central line. Later, during awakening in the coronary intensive care unit, the patient developed neck hematoma. The diagnosis was confirmed with multi-slice computed tomography (MSCT) and MSCT angiography showed active arterial blood extravasation. Despite it, the patient was extubated. Awake tracheal intubation (ATI) with video laryngoscopy was the technique of choice for reintubation because of the neck swelling and compression onto laryngeal structures. In this case, rushed extubation put the patient at risk. Video laryngoscopy ATI with appropriate preparation and titrated sedation can enable quick and safe rescue airway management in patients with rapidly developing neck hematoma, along with definitive evacuation and treatment.

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