Hauser Goran, Milosevic Marko, Zelić Marko, Stimac Davor
From the Department of Internal Medicine, Division of Gastroenterology (GH, DS); Department of Surgery, Division of Digestive Surgery (MZ); and Department of Anaesthesiology, Clinical Hospital Centre Rijeka, 51000 Rijeka, Croatia (MM).
Medicine (Baltimore). 2014 Dec;93(27):e235. doi: 10.1097/MD.0000000000000235.
There are only a few cases found in literature regarding air embolism in endoscopic procedures, especially in connection to endoscopic retrograde cholangiopancreatography (ERCP). We are presenting a case of a 56-year-old female patient who suffered from non-Hodgkin lymphoma located in her right groin. She was also diagnosed with choledocholithiasis and underwent ERCP to remove the gallstones. Immediately after the procedure she went into sudden cardiac arrest and subsequently died, despite all of our efforts. We reviewed literature in order to identify possible causes of death because fatal outcome following an uneventful and successful procedure was not expected. It is important to bear in mind all possible complications of ERCP. Our focus during the literature search was on air embolism.
文献中关于内镜手术中空气栓塞的病例很少，尤其是与内镜逆行胰胆管造影术（ERCP）相关的病例。我们报告一例56岁女性患者，她患有位于右腹股沟的非霍奇金淋巴瘤。她还被诊断为胆总管结石，并接受了ERCP取石术。术后她立即突发心脏骤停，尽管我们全力抢救，最终仍不幸死亡。我们查阅文献以确定可能的死因，因为原本预计该手术顺利成功后不会出现致命结果。牢记ERCP所有可能的并发症很重要。我们文献检索的重点是空气栓塞。
