Endotracheal intubation is common practice being performed both electively and as an emergency. Complications of this procedure are uncommon. A case is described of hypopharyngeal rupture after emergency intubation that presented with a pneumoperitoneum. The clinical signs, relevant investigations and management options are discussed for this injury and the need is emphasised for a high index of suspicion in order to make an early diagnosis.
- hypopharyngeal perforation
- endotracheal intubation
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S A A Woodcock initiated and coordinated the writing up of the case, reviewed the case notes, carried out a MEDLINE search and co-wrote the paper. H Bird helped in the initial appraisal of the case. A K Siriwardena helped evaluate the relative importance of aspects of the case and co-wrote the paper. S Ellenbogen discussed core ideas relating to the paper and is the guarantor.