RESUMO
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Assuntos
Adulto , Masculino , Humanos , Sepse/microbiologia , Infecções por Escherichia coli/complicações , Dermatopatias Vesiculobolhosas/microbiologiaRESUMO
We present a case of a sixty-nine-year-old male admitted to the hospital because of an acute respiratory failure that needed intubation and mechanical ventilation. Shortly after several attempts of right and left (the last one successful) subclavian vein cannulation (the last one successful) he developed a bilateral tension pneumothorax with important hemodynamic repercussion, a critical hypoxia and an ST elevation in inferior leads. Other more typical electrocardiographic changes could be observed: decrease in QRS amplitude and diminishing of precordial R voltage. After removing the air of the right pleural space, all the electrocardiographic signs disappeared returning to normal without electric or enzymatic assay of myocardial necrosis.
Assuntos
Eletrocardiografia , Pneumotórax/diagnóstico , Doença Aguda , Idoso , Cateterismo Venoso Central/efeitos adversos , Humanos , Masculino , Pneumotórax/etiologia , Pneumotórax/terapia , Respiração Artificial/efeitos adversos , Insuficiência Respiratória/complicações , Insuficiência Respiratória/terapia , Veia SubcláviaAssuntos
Aeromonas hydrophila , Infecções por Bactérias Gram-Negativas/diagnóstico , Peritonite/diagnóstico , Sepse/diagnóstico , Emergências , Evolução Fatal , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/etiologia , Infecções por Bactérias Gram-Negativas/etiologia , Humanos , Hipertensão Portal/complicações , Cirrose Hepática/complicações , Masculino , Pessoa de Meia-Idade , Insuficiência de Múltiplos Órgãos/diagnóstico , Insuficiência de Múltiplos Órgãos/etiologia , Peritonite/etiologia , Sepse/etiologiaRESUMO
The appearance of complications is not frequent following lower gastric endoscopy, and even less so in those which carry the risk of death. Within the low incidence, perforation is the second in frequency of appearance, following hemorrhage. Herein we present the case of a patient who developed acute respiratory failure on developing hypertensive pneumothorax secondary to colon perforation during therapeutic colonoscopy. The mechanism of production, the clinical manifestations and the treatment of this complication are reviewed.