rss
BMJ Case Reports 2017; doi:10.1136/bcr-2017-219635

Diffuse idiopathic skeletal hyperostosis (DISH): an unusual cause of airway obstruction

  1. Simon Gane
  1. Department of Otolaryngology, Royal National Throat Nose and Ear Hospital, London, UK
  1. Correspondence to Andrew Wesley Hoey, andrew.hoey{at}nhs.net
  • Accepted 25 February 2017
  • Published 15 March 2017

Description

Acute airway obstruction is a common ENT emergency with a wide range of aetiologies. The most common causes are infection, malignancy and foreign bodies, but more unusual causes should be considered.1

A 77-year old gentleman presented to the emergency department with worsening difficulty in breathing for 3 months since undergoing spinal surgery for multilevel cervical myelopathy. He of stertor, cough, dysphagia and intermittent apnoea. He was otherwise systemically well with no clinical signs of sepsis. Flexible nasendoscopy revealed a large posterior pharyngeal wall mass obscuring the …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article