A case of severe upper airway obstruction due to a retropharyngeal haematoma after an apparent minor precipitating traumatic injury is presented. The patient, a 77-year-old woman was treated with supportive therapy only, as is recommended for most cases [1-4]. Her hospital stay was complicated by a ventilator-associated pneumonia. After eleven days she could be extubated and discharged from the ICU. Her recovery was uneventful.
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