지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 275 - 280 (6page)
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초록· 키워드
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Fatal air embolism to the cerebrum during an endoscopic retrograde cholangiopancreatography (ERCP) has not been reported in a patientwith a biliodigestive anastomosis and multiresistant extended-spectrum β-lactamase Escherichia coli (ESBL) bacteremia. A 59-yearoldwoman with a history of laparoscopic cholecystectomy and iatrogenic injury of the right choledochal duct, choledochojejunostomy(biliodigestive anastomosis), recurrent cholangitis, revision of the biliodigestive anastomosis, recurrent liver abscesses, and recurrentstenting of stenotic bile ducts, was admitted because of fever and tenderness of the right upper quadrant. On ERCP, a previously deployedcovered Wallstent was replaced. Blood cultures grew ESBL. After stent removal 8 days later, the patient did not wake up and developedarterial hypotension and respiratory insufficiency, requiring mechanical ventilation. Computed tomography scans showed extensiveair embolism to the liver, heart, and cerebrum. She died 1 day later. Although the exact pathogenesis of the fatal cerebral air embolism remainsspeculative, the nonphysiological anatomy and chronic infection with ESBL may have been contributory factors.
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참고문헌 (24)
참고문헌 신청
Arguelles Garcia B / 2009 / Calvo Blanco J. Cerebral artery air embolism secondary to endoscopic retrograde cholangiopancreatography / Gastroenterol Hepatol 32 : 614 ~ 617
Barthet M / 1994 / Hepatic portal venous gas after endoscopic biliary sphincterotomy / Gastrointest Endosc 40 (2 Pt 1) : 261 ~ 263
Bechi A / 2012 / Complete neurological recovery after systemic air embolism during endoscopic retrograde cholangiopancreatography / Minerva Anestesiol 78 : 622 ~ 625
Bisceglia M / 2009 / Fatal systemic venous air embolism during endoscopic retrograde cholangiopancreatography / Adv Anat Pathol 16 : 255 ~ 262
Chavalitdhamrong D / 2013 / Acute stroke due to air embolism complicating ERCP / Endoscopy 45 (Suppl 2 UCTN) : E177 ~ E178
Barthet M / 1994 / Hepatic portal venous gas after endoscopic biliary sphincterotomy / Gastrointest Endosc 40 (2 Pt 1) : 261 ~ 263
Bechi A / 2012 / Complete neurological recovery after systemic air embolism during endoscopic retrograde cholangiopancreatography / Minerva Anestesiol 78 : 622 ~ 625
Bisceglia M / 2009 / Fatal systemic venous air embolism during endoscopic retrograde cholangiopancreatography / Adv Anat Pathol 16 : 255 ~ 262
Chavalitdhamrong D / 2013 / Acute stroke due to air embolism complicating ERCP / Endoscopy 45 (Suppl 2 UCTN) : E177 ~ E178
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