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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 287 - 290 (4page)
이용수
초록· 키워드
오류제보하기
We report a rare case of a massive fatal embolism that occurred in the middle of endoscopic retrograde cholangiopancreatography (ERCP) and retrospectively examine the significant causes of the event. The patient was a 50-year old female with an uncertain history of previous abdominal surgery for multiple biliary stones 20 years prior. The patient presented with acute right upper quadrant pain. An abdominal computed tomographic (CT) scan revealed the presence of multiple stones in the common bile duct (CBD) and intra-hepatic duct (IHD) with biliary obstruction, multifocal liver abscesses, and air-biliarygram. Emergency ERCP showed a wide and straight opening of choledochoduodenostomy, which may have been created during a previous surgery, and multiple filling defects in the CBD. With the use of a forward endoscope, mud stones were extracted through the opening of the choledochoduodenostomy. Cardiac arrest suddenly developed during the procedure, and despite immediate resuscitation, the patient died due to a massive systemic air embolism. We reviewed previously reported fatal cases and accessed factors facilitating air embolisms in this case.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Akhtar N / 2001 / Cerebral artery air embolism following an esophagogastroscopy: a case report / Neurology 56 : 136 ~ 137
Barthet M / 1994 / Hepatic portal venous gas after endoscopic biliary sphincterotomy / Gastrointest Endosc 40 : 261 ~ 263
Christi SU / 1994 / Cerebral air embolism after gastroduodenoscopy: complication of a duodenocaval fistula / Gastrointest Endosc 40 : 376 ~ 378
Herman JB / 1995 / Portal venous gas as a complication of ERCP and endoscopic sphincterotomy / Am J Gastroenterol 90 : 828 ~ 829
Huycke A / 1985 / Hepatic portal venous gas after colonoscopy in granulomatous colitis / Am J Gastroenterol 80 : 637 ~ 638
Barthet M / 1994 / Hepatic portal venous gas after endoscopic biliary sphincterotomy / Gastrointest Endosc 40 : 261 ~ 263
Christi SU / 1994 / Cerebral air embolism after gastroduodenoscopy: complication of a duodenocaval fistula / Gastrointest Endosc 40 : 376 ~ 378
Herman JB / 1995 / Portal venous gas as a complication of ERCP and endoscopic sphincterotomy / Am J Gastroenterol 90 : 828 ~ 829
Huycke A / 1985 / Hepatic portal venous gas after colonoscopy in granulomatous colitis / Am J Gastroenterol 80 : 637 ~ 638
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