Portal gas embolism is a rare entity and considered a sign of poor prognosis in abdominal diseases, its mortality rate is about 75%. This case report is about a 61-year old patient with portal gas embolism and acute l...Portal gas embolism is a rare entity and considered a sign of poor prognosis in abdominal diseases, its mortality rate is about 75%. This case report is about a 61-year old patient with portal gas embolism and acute liver ischemia, evolving to death within 24 hours. Some cases reported in the literature demonstrate the severity of this dramatic condition. It is necessary to have a higher level of suspicion in the vascular structures of the abdomen in order to allow a timely treatment.展开更多
Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we pr...Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we present a case of lethal CO2 embolism during LN.Fortunately,the complication was detected early and managed successfully.Our case and literature review all revealed that gas embolism must be considered as a possible cause of sudden cardiocirculatory failure during LN;rapid diagnosis and definitive intervention can decrease fatality from such an injury.Possible mechanisms of CO2 embolism and the potential ways of handling such an event are also discussed.Keywords：laparoscopic nephrectomy; gas embolism; transesophageal echocardiography展开更多
文摘Portal gas embolism is a rare entity and considered a sign of poor prognosis in abdominal diseases, its mortality rate is about 75%. This case report is about a 61-year old patient with portal gas embolism and acute liver ischemia, evolving to death within 24 hours. Some cases reported in the literature demonstrate the severity of this dramatic condition. It is necessary to have a higher level of suspicion in the vascular structures of the abdomen in order to allow a timely treatment.
文摘Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we present a case of lethal CO2 embolism during LN.Fortunately,the complication was detected early and managed successfully.Our case and literature review all revealed that gas embolism must be considered as a possible cause of sudden cardiocirculatory failure during LN;rapid diagnosis and definitive intervention can decrease fatality from such an injury.Possible mechanisms of CO2 embolism and the potential ways of handling such an event are also discussed.Keywords：laparoscopic nephrectomy; gas embolism; transesophageal echocardiography
