Journal of Anaesthesiology Clinical Pharmacology

CASE REPORT
Year
: 2012  |  Volume : 28  |  Issue : 2  |  Page : 239--241

An unanticipated difficult airway in Lesch-Nyhan syndrome


Rashmi Salhotra, Chhavi Sharma, Asha Tyagi, Surendra Kumar, AK Sethi, Shuchi Bhatt 
 Department of Anaesthesiology and Critical Care, UCMS and GTBH, Dilshad Garden, Delhi, India

Correspondence Address:
Rashmi Salhotra
18/30, First Floor, Shakti Nagar, Delhi - 110 007
India

An 11-year-old boy with Lesch-Nyhan syndrome presented to the emergency for fixation of a fractured femur. During induction of general anesthesia, unexpected difficult intubation was encountered with a 6.5-mm ID endotracheal tube and successively smaller tubes, also failing to pass 1 cm beyond the vocal cords. Intubation was finally achieved with a 4.5-mm ID tube. The surgery was completed uneventfully. A tracheal diverticulum was found in the computerized tomography (CT) scan performed postoperatively to account for this unexpected difficult intubation. This case highlights the anesthetic concerns in Lesch-Nyhan syndrome and also reports the rare occurrence of a tracheal diverticulum associated with it.


How to cite this article:
Salhotra R, Sharma C, Tyagi A, Kumar S, Sethi A K, Bhatt S. An unanticipated difficult airway in Lesch-Nyhan syndrome.J Anaesthesiol Clin Pharmacol 2012;28:239-241


How to cite this URL:
Salhotra R, Sharma C, Tyagi A, Kumar S, Sethi A K, Bhatt S. An unanticipated difficult airway in Lesch-Nyhan syndrome. J Anaesthesiol Clin Pharmacol [serial online] 2012 [cited 2020 Aug 12 ];28:239-241
Available from: http://www.joacp.org/article.asp?issn=0970-9185;year=2012;volume=28;issue=2;spage=239;epage=241;aulast=Salhotra;type=0