A Woman With Neck Swelling and Cardiac Arrest

      An 80-year-old woman with a medical history of obesity, diabetes mellitus, and hypertension was admitted to the general medical ward of a regional hospital for low-grade fever and dysuria; she was treated for a urinary tract infection with amoxicillin and clavulanate by the parent team. On admission, she also complained of vague and fleeting chest discomfort. Her BP was 128/78 mm Hg; her heart rate was 73 beats/min, and her oxygen saturation was 99% on room air. Physical examinations of her cardiovascular, respiratory, and abdominal systems were unremarkable.
      To read this article in full you will need to make a payment
      Subscribe to CHEST
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Perera P.
        • Mailhot T.
        • Riley D.
        • Mandavia D.
        The RUSH exam: rapid ultrasound in shock in the evaluation of the critically ill.
        Emerg Med Clin North Am. 2010; 28: 29-56
        • Newton A.I.
        Spontaneous retropharyngeal hematoma: an unusual presentation of thoracic aortic dissection.
        J Emerg Med. 2006; 31: 45-48
        • Kubota H.
        • Endo H.
        • Noma M.
        • et al.
        Airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture.
        J Cardiothorac Surg. 2013; 8: 232
        • Sabra O.
        • Sabri A.
        • Sfeir P.
        Airway obstruction secondary to thoracic aortic aneurysm leak: a case report.
        Eur Arch Otorhinolaryngol. 2006; 263: 1144-1146
        • Mitchell R.O.
        • Heniford B.T.
        Traumatic retropharyngeal hematoma: a cause of acute airway obstruction.
        J Emerg Med. 1995; 13: 165-167