FATAL AIR-EMBOLISM FOLLOWING ENDOSCOPY OF A HEPATIC PORTOENTEROSTOMY

被引:18
作者
DESMOND, PV [1 ]
MACMAHON, RA [1 ]
机构
[1] MONASH MED CTR,MELBOURNE,VIC,AUSTRALIA
关键词
Air embolism; Biliary system; Endoscopy;
D O I
10.1055/s-2007-1012856
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The case reported is that of a 10-year-old girl born with congenital biliary atresia who had undergone a Kasai procedure in the first year of life. She presented with ascending cholangitis, and investigations revealed a stricture of her portoenterostomy with an intrahepatic stone above the stricture. At laparotomy there were numerous adhesions and dilated varices, so the descending loop of the Kasai was exteriorized to enable a subsequent percutaneous endoscopic manipulation of the stone. During manipulation of the stricture via a pediatric endoscope in the jejunal loop the patient collapsed and died. Post mortem revealed a massive air embolism and varices of the jejunal loop.
引用
收藏
页码:236 / 236
页数:1
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