Soghomonyan Suren, Fleming Qian, Bhandary Sujatha P
Department of Anesthesiology, Ohio State University Wexner Medical Center, Columbus, OH, United States.
Department of Anesthesiology, Emory University Hospital, Atlanta, GA, United States.
Front Med (Lausanne). 2021 Mar 15;8:566100. doi: 10.3389/fmed.2021.566100. eCollection 2021.
Angioedema with macroglossia is a rare complication of anesthesia. We present a clinical case of post-operative development of angioedema presenting as macroglossia in a patient receiving chronic therapy with lisinopril, who developed symptoms in the early post-operative period following surgery in a lateral position, when a laryngeal mask airway was used. Possible mechanisms of angioedema and macroglossia development in our patient are discussed along with potential underlying predisposing mechanisms and available therapeutic approaches.
血管性水肿伴巨舌是麻醉的一种罕见并发症。我们报告一例接受赖诺普利长期治疗的患者术后发生血管性水肿并表现为巨舌的临床病例,该患者在侧卧位手术且使用喉罩气道后早期术后出现症状。我们讨论了该患者血管性水肿和巨舌发生的可能机制,以及潜在的易感机制和可用的治疗方法。