Fatal pneumoperitoneum caused by nasopharyngeal oxygen delivery after transoesophageal echocardiography for cardiac surgery.
Acta Anaesthesiol Scand
; 53(9): 1223-5, 2009 Oct.
Article
em En
| MEDLINE
| ID: mdl-19650802
ABSTRACT
We report a case of fatal post-operative pneumoperitoneum in a patient who had undergone urgent mitral valve surgery. In the absence of a proven cause of the pneumoperitoneum (refusal by the family of an autopsy), we can only propose a hypothesis for its origin. The most probable one is that forceful or sustained retrograde flexion of the transoesophageal echocardiographic probe created a lower oesophagus or gastric rupture and that oxygen flow administered by the nasal cannula went straight to the abdominal cavity, leading to tension pneumoperitoneum.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Oxigênio
/
Pneumoperitônio
/
Nasofaringe
/
Ecocardiografia Transesofagiana
/
Procedimentos Cirúrgicos Cardíacos
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Acta Anaesthesiol Scand
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
França