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Anesth Analg 2000;91:1300-1302
© 2000 International Anesthesia Research Society

CASE REPORTS

Urgent Colectomy in a Patient with Membranous Tracheal Disruption After Severe Vomiting

Samuel A. Irefin, MD*, Ibrahim S. Farid, MD*, and Anthony J. Senagore, MD{dagger}

Departments of *General Anesthesiology and {dagger}Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio

Address correspondence and reprint requests to Samuel A. Irefin, MD, Department of General Anesthesiology E-31, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195. Address e-mail to Irefins{at}ccf.org

Implications: We report a case of a patient who developed membranous tracheal disruption after severe vomiting. He subsequently required urgent colectomy for toxic megacolon under general anesthesia. With this challenging situation, we were able to successfully conduct general anesthesia in the presence of tracheal laceration, pneumothorax, and pneumomediastinum.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2000 by the International Anesthesia Research Society.