Abstract
A 49-year-old woman underwent ventral hernia repair. Postoperatively she experienced neck swelling and a voice change. Palpable cervical crepitance prompted a computed tomography of the chest, which revealed mediastinal emphysema and an extensive defect involving the entire length of the intrathoracic membranous trachea. The esophagus seemed intact (Fig 1). With worsening subcutaneous emphysema and impending respiratory failure, the patient was taken to the operating room for intubation and evaluation of the injury.
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