CTICasesFractured Tracheostomy with Airway Dislodgement
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Imaging findings
Initial radiograph shows a portion of a tracheostomy in the right main bronchus. A follow-up X-ray after attempted retrieval shows the tracheostomy dislodged into the left main bronchus, with a new tracheostomy in place in the neck. CT reveals a fractured outer cannula with an irregular proximal edge, occluded by granulation tissue, and a tracheal stent.
Key takeaways
This case illustrates the components of a tracheostomy (outer and inner cannulas) and the potential for a fractured outer cannula to dislodge into the airway. It highlights the importance of understanding tracheostomy mechanics and considering trauma in unexpected device complications, potentially due to assault.
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See all cases from August 29, 2014 →