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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

Departments of *General Anesthesiology and 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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