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BJA Advance Access originally published online on March 11, 2005
British Journal of Anaesthesia 2005 94(6):856-858; doi:10.1093/bja/aei124
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org

RESPIRATION AND THE AIRWAY: Case Report

Gastric rupture after awake fibreoptic intubation in a patient with laryngeal carcinoma

C.-M. Ho*, I.-W. Yin, K.-F. Tsou, L.-H. Chow and S.-K. Tsai

Department of Anaesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan

* Corresponding author: Department of Anaesthesiology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd, Taipei 112, Taiwan. E-mail: cmho{at}vghtpe.gov.tw

An 86-yr-old man with recurrent laryngeal carcinoma developed gastric rupture after awake fibreoptic intubation before induction of general anaesthesia. Early clinical signs included a distended, tense and tympanic abdomen with pain and massive pneumoperitoneum (chest radiograph). Laparotomy revealed a 4-cm longitudinal perforation along the lesser curvature of the stomach. This case represents a rare but severe complication that may occur during fibreoptic intubation in the awake patient.


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Gastric Rupture and Pneumoperitoneum Caused by Oxygen Insufflation via a Fiberoptic Bronchoscope
Anesth. Analg., May 1, 2008; 106(5): 1592 - 1592.
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