We report a case of a 10 year old boy who presented with delayed onset of retropharyngeal hematoma post trauma with acute airway obstruction. He had motor vehicle accident 2 weeks prior and sustained extensive subcutaneous emphysema with bilateral pneumothorax due to rib fractures. CT showed hypodense collection measuring 1cm x 1cm x 2cm at retropharyngeal space with compression at the posterior wall of the trachea. He was intubated and underwent tracheostomy for persistent upper airway obstruction.
Retropharyngeal hematoma, airway obstruction, cervical spine injury.