Life-threatening Tracheostomy Site Bleeding from Granulation Tissue Mimicking Tracheo-innominate fistula

Authors

  • Sangya Paudel Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal
  • K. Ranabhat Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal
  • U.P. Devkota Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/nmcj.v20i4.26432

Keywords:

CT-angiogram, granulation tissue, tracheo-innominate fistula

Abstract

Tracheostomy is a common life- saving procedure carried out for variety of indications. Of the various complications, profuse stomal bleeding could either be due to granulation tissues or major vessel fistula. We report one such case where there was repeated profuse bleeding mimicking tracheo-innominate fistula. A preliminary CT-angiogram was done, that ruled out fistula and it was safely tackled by bipolar diathermy in the operating theater. Had it been the alternative diagnosis it would definitely require a vascular surgeon. Thus CT-angiogram could be a useful investigation to pin down the cause and appropriate management

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Author Biographies

Sangya Paudel, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal

Otorhinolaryngology - Head and Neck Surgery

K. Ranabhat, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal

Department of Radiology

U.P. Devkota, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal

Department of Neurosurgery

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Published

2018-12-31

How to Cite

Paudel, S., Ranabhat, K., & Devkota, U. (2018). Life-threatening Tracheostomy Site Bleeding from Granulation Tissue Mimicking Tracheo-innominate fistula. Nepal Medical College Journal, 20(4), 183–186. https://doi.org/10.3126/nmcj.v20i4.26432

Issue

Section

Case Reports