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Perkütan nefrolitotomi operasyonunun nadir ama ölümcül bir komplikasyonu; masif hava embolisi.

Year 2018, , 189 - 193, 01.03.2018
https://doi.org/10.17343/sdutfd.354762

Abstract

Masif hava embolisini; otopsi öncesinde postmortem
bilgisayarlı tomografi çekilmedi ise ya da daha önceden şüphelenerek su altında
organ diseksiyonu yapılmadı ise tanılamak zor bir durumdur. Bu şüphenin olduğu
durumlarda detaylı bir otopsi yanında iyi bir olgu öyküsü ve önceki klinik
bilgilerini değerlendirmek tanıda referans nokta olabilir. Bu olgu sunumunda otopside kolaylıkla atlanabilecek perkütan
nefrolitotomi komplikasyonu olan masif hava embolisi sunulmuş ve postmortem BT
görüntülemenin önemi vurgulanmıştır. 

References

  • [1] Heinemann A, Vogel H, Heller M, Tzikas A, Püschel K. Investigation of medical intervention with fatal outcome: the impact of post-mortem CT and CT angiography. La Radiologia Medica 2015;120:835–45. doi:10.1007/s11547-015-0574-5.
  • [2] Taylor E, Miller J, Chi T, Stoller ML. Complications associated with percutaneous nephrolithotomy. Translational Andrology and Urology 2012;1:223–8. doi:10.3978/j.issn.2223-4683.2012.12.01.
  • [3] Parikh GP, Sonde SR, Kadam P. Venous air embolism: A complication during percutaneous nephrolithotomy. Indian Journal of Urology : IJU : Journal of the Urological Society of India 2014;30:348–9. doi:10.4103/0970-1591.128510.
  • [4] Jorens PG, Van Marck E, Snoeckx a, Parizel PM. Nonthrombotic pulmonary embolism. The European Respiratory Journal 2009;34:452–74. doi:10.1183/09031936.00141708.
  • [5] Tanju S, Guven K, Toker A, Dilege S. Massive air embolism during coronary multislice spiral computed tomography. European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery 2010;37:1228. doi:10.1016/j.ejcts.2009.12.009.
  • [6] Fujioka M, Niino D, Ito M, Matsuoka Y. Fatal paradoxical air embolism diagnosed by postmortem imaging and autopsy. J Forensic Sci, 2012 Jul;57(4):1118-9. doi: 10.1111/j.1556-4029.2012.02094.x.
  • [7] Hillewig E, Aghayev E, Jackowski C, Christe A, Plattner T, Thali MJ. Gas embolism following intraosseous medication application proven by post-mortem multislice computed tomography and autopsy. Resuscitation 2007;72(1):149–53 doi: https://doi.org/10.1016/j.resuscitation.2006.06.023

A rare but fatal complication of percutaneous nephrolithotomy; Massive air embolism

Year 2018, , 189 - 193, 01.03.2018
https://doi.org/10.17343/sdutfd.354762

Abstract

It’s hard
to diagnose the massive air embolism if postmortem computed tomography is not
performed during autopsy or if the organ dissection is not made under water by
suspecting previously. In the case of this suspicion, a good case history along
with a detailed examination and evaluation of previous clinical information may
serve as a reference point. 
 In this report;
it has been presented an autopsy case of massive air embolism due to a
complication of
percutaneous nephrolithotomy that
may be easily missed during autopsy examinations and has been highlighted the
importance of postmortem computerized tomography.

References

  • [1] Heinemann A, Vogel H, Heller M, Tzikas A, Püschel K. Investigation of medical intervention with fatal outcome: the impact of post-mortem CT and CT angiography. La Radiologia Medica 2015;120:835–45. doi:10.1007/s11547-015-0574-5.
  • [2] Taylor E, Miller J, Chi T, Stoller ML. Complications associated with percutaneous nephrolithotomy. Translational Andrology and Urology 2012;1:223–8. doi:10.3978/j.issn.2223-4683.2012.12.01.
  • [3] Parikh GP, Sonde SR, Kadam P. Venous air embolism: A complication during percutaneous nephrolithotomy. Indian Journal of Urology : IJU : Journal of the Urological Society of India 2014;30:348–9. doi:10.4103/0970-1591.128510.
  • [4] Jorens PG, Van Marck E, Snoeckx a, Parizel PM. Nonthrombotic pulmonary embolism. The European Respiratory Journal 2009;34:452–74. doi:10.1183/09031936.00141708.
  • [5] Tanju S, Guven K, Toker A, Dilege S. Massive air embolism during coronary multislice spiral computed tomography. European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery 2010;37:1228. doi:10.1016/j.ejcts.2009.12.009.
  • [6] Fujioka M, Niino D, Ito M, Matsuoka Y. Fatal paradoxical air embolism diagnosed by postmortem imaging and autopsy. J Forensic Sci, 2012 Jul;57(4):1118-9. doi: 10.1111/j.1556-4029.2012.02094.x.
  • [7] Hillewig E, Aghayev E, Jackowski C, Christe A, Plattner T, Thali MJ. Gas embolism following intraosseous medication application proven by post-mortem multislice computed tomography and autopsy. Resuscitation 2007;72(1):149–53 doi: https://doi.org/10.1016/j.resuscitation.2006.06.023
There are 7 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Abdulkadir Yıldız

Publication Date March 1, 2018
Submission Date November 16, 2017
Acceptance Date November 22, 2017
Published in Issue Year 2018

Cite

Vancouver Yıldız A. Perkütan nefrolitotomi operasyonunun nadir ama ölümcül bir komplikasyonu; masif hava embolisi. Med J SDU. 2018;25(2):189-93.

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