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Non-Surgical Management of Critically Compromised Airway Due to Dilatation of Interposed Colon / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 98-100, 2016.
Article in English | WPRIM | ID: wpr-187845
ABSTRACT
We present a rare case of critically compromised airway secondary to a massively dilated sequestered colon conduit after several revision surgeries. A 71-year-old male patient had several operations after the diagnosis of gastric cancer. After initial treatment of pneumonia in the pulmonology department, he was transferred to the surgery department for feeding jejunostomy because of recurrent aspiration. However, he had respiratory failure requiring mechanical ventilation. The chest computed tomography (CT) scan showed pneumonic consolidation at both lower lungs and massive dilatation of the substernal interposed colon compressing the trachea. The dilated interposed colon was originated from the right colon, which was sequestered after the recent esophageal reconstruction with left colon interposition resulting blind pouch at both ends. It was treated with CT-guided pigtail catheter drainage via right supraclavicular route, which was left in place for 2 weeks, and then removed. The patient remained well clinically, and was discharged home.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pneumonia / Respiration, Artificial / Respiratory Insufficiency / Stomach Neoplasms / Thorax / Trachea / Jejunostomy / Pulmonary Medicine / Drainage / Colon Type of study: Diagnostic study Limits: Aged / Humans / Male Language: English Journal: Tuberculosis and Respiratory Diseases Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pneumonia / Respiration, Artificial / Respiratory Insufficiency / Stomach Neoplasms / Thorax / Trachea / Jejunostomy / Pulmonary Medicine / Drainage / Colon Type of study: Diagnostic study Limits: Aged / Humans / Male Language: English Journal: Tuberculosis and Respiratory Diseases Year: 2016 Type: Article