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British Journal of Anaesthesia, 2004, Vol. 92, No. 2 283-286
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Angina bullosa haemorrhagica presenting as acute upper airway obstruction

C. Pahl*,1, S. Yarrow1, N. Steventon2, N. R. Saeed3 and O. Dyar1

1 Nuffield Department of Anaesthetics, 2 Department of Otolaryngology and 3 Department of Oral and Maxillofacial Surgery, John Radcliffe Hospital, Oxford OX3 9DU, UK

*Corresponding author. E-mail: clemenspahl@doctors.org.uk

We report a case of acute upper airway obstruction caused by a rapidly expanding blood-filled bulla in the oropharynx (angina bullosa haemorrhagica), requiring tracheal intubation. The larynx could not be visualized by either awake fibreoptic laryngoscopy or direct laryngoscopy under anaesthesia. Surgical tracheostomy was therefore performed under general anaesthesia.

Br J Anaesth 2004; 92: 283–6


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