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KMID : 0363120080210010062
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Korean Journal of Pain
2008 Volume.21 No. 1 p.62 ~ p.65
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A Severe Retropharyngeal Hematoma after Stellate Ganglion Block
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Lee Kang-Hun
Yoon Duck-Mi
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Abstract
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A 73-year-old man with sudden sensory neural hearing loss received a stellate ganglion block. Two hours
after the block, the patient complained of newly developed neck discomfort. After an additional two hours, the
neck swelled up gradually and neck pain and dyspnea developed. A plain radiograph of neck revealed narrowing
of the upper airway; a tracheostomy was performed and the dyspnea was improved. On the next day, the
pain site extended to the right scapula and a CT image revealed a huge retropharyngeal hematoma. Hematoma
evacuation and bleeder ligation were then performed and the patient was discharged on the fourth day after
admission without any complications. A practitioner should always remember to educate the patients about
possible complications and undertake intensive observation when performing procedures, even in patients who
do not initially present with a compromised airway. (Korean J Pain 2008; 21: 62?65)
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KEYWORD
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retropharyngeal hematoma, stellate ganglion block
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