Journal of Anesthesiology & Clinical Science

Journal of Anesthesiology & Clinical Science

ISSN 2049-9752
Case report

Uvular necrosis after gynecologic surgery: a case report

Shunaha Kim-Fine1*, Elizabeth R. Casiano2, Christopher J. Jankowski1 and John B. Gebhart1

*Correspondence: Shunaha Kim-Fine

1. Division of Gynecologic Surgery and Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA.

Author Affiliations

2. Department of Obstetrics and Gynecology, University of Texas Medicine Health Science Center, San Antonio, Texas, USA.


Uvular necrosis is a rare complication after endotracheal intubation and upper endoscopy. A 49-year-old woman underwent surgery for uterine prolapse, rectocele, and stress urinary incontinence under general anesthesia with endotracheal intubation. The patient reported sore throat, dysphagia, and a foreign-body sensation the day after surgery. Oropharynx examination showed an inflamed uvula with a necrotic tip. She received conservative treatment and had complete symptom resolution within 2 weeks. Injury is thought to result from the uvula being compressed against the hard palate or posterior pharynx. In this instance, patient positioning may have had a role. Review of the medical literature shows that onset of sore throat, a foreign-body sensation, or odynophagia occurs within 24 hours postprocedure. Conservative management resulted in good clinical outcome in reported cases.

Keywords: Gynecologic surgical procedures, necrosis, oropharynx, trendelenburg position, uvula

ISSN 2049-9752
Volume 2
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