Published online Dec 31, 2009.
https://doi.org/10.4184/jkss.2009.16.4.290
Cervical Prevertebral Hematoma - a Rare Complication of Acupuncture Therapy - A Case Report-
Abstract
A 36-year old man with neck pain developed an acute cervical prevertebral hematoma after acupuncture therapy at an oriental medicine hospital. MR imaging demonstrated a fluid collection, and this suggested a diagnosis of retropharyngeal hematoma, and the patient was managed conservatively. We report here on a case of a retropharyngeal hematoma following acupuncture therapy and we review the relevant literature.
Fig. 1
(A) Initial lateral radiograph shows a widening of the retropharyngeal space. (B) Last follow up lateral radiograph shows a decreased shadow of retropharyngeal space.
Fig. 2
MRI of Cervical spine. (A) Sagittal T2 weighted images show a hyperintense retropharyngeal collection that extends from the nasopharynx to the laryngopharynx. The air way is mildly compromised. (B) Sagittal T 1 weighted images show a low intensity at the retropharygeal space. (C) Axial T2 weighted image shows a high intensity well defined retropharyngeal collection and left side longus coli muscle hemorrhagic change.
References
-
Miller R, Collison P, Gouda HE. Spontaneous retropharyngeal hemorrhage causing airway obstruction: A case report with a review of the literature. S D Med 2006;59:295–297.
-
-
Munoz A, Fischbein NJ, de Vergas J, Crespo J, Alvarez-Vincent J. Spontaneous retropharyngeal hematoma: Diagnosis by mr imaging. AJNR Am J Neuroradiol 2001;22:1209–1211.
-
-
Kim SB, Kim YB, Yang YJ, Hwang JH. Treatment of Two Cases of Retropharyngeal Hematomas. Korean J Otolaryngol 2003;46:259–263.
-