Zulkifle Aina Mardiah, Faisal Mohamed
Respiratory Unit, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia.
BMJ Case Rep. 2019 Aug 28;12(8):e229169. doi: 10.1136/bcr-2018-229169.
Vascular air embolism (VAE) is a known complication of contrast-enhanced CT (CECT) scan occurring in venous or arterial circulation with a wide spectrum of presentations. We report a case of a 44-year-old woman with endometrial adenocarcinoma stage IVB complicated with liver abscess and pulmonary embolism who developed VAE following a routine CECT scan after the sixth cycle of chemotherapy. This was an incidental finding and the patient remained asymptomatic throughout. As such, she was treated conservatively and gradually recovered. This case report serves as a reminder that VAE should be considered in patients presenting with unexplained symptoms following this procedure.
血管空气栓塞（VAE）是增强CT（CECT）扫描已知的并发症，可发生于静脉或动脉循环，表现形式多样。我们报告一例44岁IVB期子宫内膜腺癌合并肝脓肿和肺栓塞的女性患者，在化疗第六周期后的常规CECT扫描后发生了VAE。这是一个偶然发现，患者全程无症状。因此，她接受了保守治疗并逐渐康复。本病例报告提醒人们，对于在此类检查后出现不明原因症状的患者，应考虑VAE的可能。
