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Case Report

RMJ. 2016; 41(3): 379-381


Tracheocele presenting as a case of persistent difficult ventilation and subcutaneous emphysema post tracheostomy

Xing Yi Yeoh, Dina Hashim.

Abstract
Tracheocele or tracheal diverticulum is rare, and seldom reported and majority are asymptomatic. We report a case of a tracheocele detected after persistent difficult ventilation post tracheostomy, with tube changing difficulty and persistent subcutaneous emphysema. Flexible endoscopy was performed and confirmed a blind ending pouch at the posterior tracheal wall. The tip of tracheostomy tube was repositioned beyond the pouch and emphysema resolved.

Key words: Tracheostomy, subcutaneous emphysema, difficult ventilation, post tracheostomy



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