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

An unanticipated difficult airway in Lesch-Nyhan syndrome

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9185.94909

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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.

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