(2011) Respiratory arrest due to airway obstruction following endoscopic removal of trichobezoar. Journal of the Pakistan Medical Association. pp. 700-701. ISSN 00309982 (ISSN)
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Abstract
A trichobezoar is a ball of swallowed hair that collects in the stomach and fails to pass through the intestines. Upper gastrointestinal endoscopy is usually useful for diagnosis and retrieval of a portion of the gastric Trichobezoars but can have complications. Upper airway obstruction may occur during removal of bezoar. This complication may be life threatening. We report the case of a 17-year-old girl who presented with severe anaemia and hypoproteinaemia. During diagnostic upper GI endoscopy, a large piece of hairball compressed the upper airway, leading to cyanosis, respiratory arrest and cardiovascular collapse. The patient was immediately intubated and transferred to the operation room for emergency esophagoscopy. In the operation room, after haemodynamic stabilization the otolaryngologist removed the large piece by esophagoscope. Then the patient was transferred to ICU ward with spontaneous ventilCase reportation. The day after, she became stable and conscious.
| Item Type: | Article |
|---|---|
| Keywords: | Case report Endoscopy Respiratory arrest Trichobezoars Upper airway obstruction Adolescent Airway Obstruction Bezoars Cyanosis Endoscopy, Digestive System Esophagoscopy Female Hair Humans Respiratory Insufficiency Treatment Outcome anesthetic agent atracorium atropine flumazenil hemoglobin midazolam naloxone neostigmine opiate antagonist oxygen pethidine unclassified drug abdominal pain anemia anesthesiological techniques article artificial ventilation blood pressure compression therapy emergency care endoscopic surgery gastroscopy hemodynamics human hyperventilation hypoproteinemia intensive care unit multiple cycle treatment oxygen saturation postoperative period pulse oximetry pulse rate respiratory tract intubation surgical technique trichobezoar vomiting |
| Page Range: | pp. 700-701 |
| Journal or Publication Title: | Journal of the Pakistan Medical Association |
| Volume: | 61 |
| Number: | 7 |
| ISSN: | 00309982 (ISSN) |
| Depositing User: | Mr mahdi sharifi |
| URI: | http://eprints.ssu.ac.ir/id/eprint/32644 |
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