Spontaneous angina bullosa haemorrhagica causing laryngospasm and requiring emergency intubation intraoperatively.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
William Robert Watson, Niyomi Wijesinghe, Alex Swann, Piers Yates, Bart De Keulenaer
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引用次数: 0

Abstract

Angina bullosa haemorrhagica (ABH) is a rare condition in which blood-filled blisters may rapidly form within the oral mucosa. While these blisters often self-resolve without treatment, there have been cases where they have caused airway compromise. We report a case involving a woman in her 70s with known ABH who developed spontaneous bullae which ruptured into the oral cavity during an elective hip replacement. After the bullae ruptured and caused laryngospasm, an emergency tracheal intubation was performed to protect the airway. We note a gap in the literature regarding this patient cohort within the perioperative setting. Given this cohort is at risk of rapidly developing spontaneous bullae, which can predispose to airway emergencies, careful assessment and consideration of elective tracheal intubation may minimise such risk. Additionally, a period of observation in a high dependency unit postoperatively may be advisable.

自发性大疱性心绞痛出血引起喉痉挛,术中需要紧急插管。
大疱性出血性心绞痛(ABH)是一种罕见的情况下,充血的水泡可能迅速形成在口腔黏膜。虽然这些水泡通常不经治疗就会自行消退,但也有一些病例会导致气道受损。我们报告一个病例,涉及一名70多岁的妇女,已知ABH,在选择性髋关节置换术中发生自发性大泡破裂进入口腔。大泡破裂并引起喉痉挛后,紧急气管插管以保护气道。我们注意到文献中关于围手术期患者队列的空白。考虑到该队列存在迅速发展的自发性大疱的风险,这可能导致气道紧急情况,仔细评估和考虑选择性气管插管可能会将这种风险降至最低。此外,术后在高依赖病房观察一段时间可能是可取的。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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