Journal article
Traumatic xylophagia leading to foreign body removal and tracheostomy in the setting of postpartum psychosis
Journal of surgical case reports, v 2021(12), 467
01 Dec 2021
PMID: 34909161
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Postpartum psychosis (PPP) is a severe mood disorder following childbirth that rarely leads to injurious or suicidal behavior. This report illustrates otolaryngologic intervention for pharyngeal laceration and airway instability following traumatic foreign body ingestion in the setting of PPP. A 25-year-old woman with PPP presented with hemoptysis after attempting suicide by traumatically forcing tree branches into her oropharynx. Imaging revealed pneumomediastinum, and flexible laryngoscopy and esophagoscopy showed a large foreign body (tree branch) extending from the hypopharynx to the gastroesophageal junction. She was taken to the operating room for direct microlaryngoscopy, bronchoscopy and esophagoscopy with removal of the 25-cm tree branch. Panendoscopy revealed a mucosal laceration at the cricopharyngeus with supraglottic and hypopharyngeal edema but no injury to the larynx. Due to airway concerns, a cuffed tracheostomy was placed along with a gastrostomy tube for feeding access. She tolerated her postoperative course with successful decannulation and oral feeding prior to discharge.
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Details
- Title
- Traumatic xylophagia leading to foreign body removal and tracheostomy in the setting of postpartum psychosis
- Creators
- Brady J. Anderson - The University of Texas Health Science Center at HoustonDavid Z. Allen - The University of Texas Health Science Center at HoustonSean P. McKee - The University of Texas Health Science Center at HoustonGarren Low - College Station Medical CenterSancak Yuksel - The University of Texas Health Science Center at Houston
- Publication Details
- Journal of surgical case reports, v 2021(12), 467
- Publisher
- Oxford Univ Press
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000754009000014
- Scopus ID
- 2-s2.0-85127238204
- Other Identifier
- 991022008193004721
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- Web of Science research areas
- Surgery