Traumatic pneumobilia after cardiopulmonary resuscitation.

نویسندگان

  • R Ladurner
  • D Kotsianos
  • W Mutschler
  • T Mussack
چکیده

Pneumobilia is a rare pathological finding, which denotes an abnormal connection between the gastrointestinal and the biliary tract. In the absence of surgically created anastomosis between the bowel and the bile duct, the most common causes for pneumobilia are gallstone obstruction, endoscopic interventions, or emphysematous cholecystitis. We present this case of a middle-aged multiple-injured male who developed traumatic pneumobilia after cardiopulmonary resuscitation. We suppose that chest compression in combination with a sphincter of Oddi (SO) dysfunction forced intraluminal air retrograde through the SO into the biliary tract, since intraabdominal injury as well as former biliary pathology, inflammation, or biliary-enteric fistula were excluded.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Safe Intravenous Thrombolysis after Traumatic Cardiopulmonary Resuscitation with Rib Fractures: A Case Report

We report a case of successful intravenous thrombolysis for a distal middle cerebral artery occlusion shortly after traumatic cardiopulmonary resuscitation due to an episode of ventricular tachycardia. A high prevalence of fatal cardiac arrhythmias in acute stroke patients raises the question of safety when administrating thrombolytic therapy after traumatic cardiopulmonary resuscitation; guide...

متن کامل

Traumatic Pancreatitis: A Rare Complication of Cardiopulmonary Resuscitation

An elderly gentleman was successfully revived after undergoing cardiopulmonary resuscitation (CPR) for cardiac arrest. Post CPR, the patient developed acute pancreatitis which was likely complication of inappropriately delivered chest compressions which caused further complications and resulted in the death of the patient. This case underlines the importance of quality chest compressions that i...

متن کامل

Lung hernia associated with hemothorax following cardiopulmonary resuscitation.

Lung herniation is a rare event that can occur spontaneously or traumatically. Thoracic hernias are usually associated with a chest-wall defect. We report a case of thoracic lung hernia that occurred 2 days after traumatic cardiopulmonary resuscitation, after the formation of a large hemothorax.

متن کامل

Guidelines for withholding or termination of resuscitation in prehospital traumatic cardiopulmonary arrest: a joint position paper from the National Association of EMS Physicians Standards and Clinical Practice Committee and the American College of Surgeons Committee on Trauma.

1. Resuscitation efforts may be withheld in any blunt trauma patient who, based on out-ofhospital personnel’s thorough primary patient assessment, is found apneic, pulseless, and without organized electrocardiographic (ECG) activity upon the arrival of emergency medical services (EMS) at the scene. 2. Victims of penetrating trauma found apneic and pulseless by EMS, based on their patient assess...

متن کامل

Unexpected bleeding after cardiopulmonary resuscitation

Avulsion of the gallbladder is an uncommon complication after cardiopulmonary resuscitation. It has never been reported before. Cardiopulmonary resuscitation is frequently associated with complications such as rib and sternal fractures. Visceral structures are less affected. Abdominal organs might be injured, most frequently due to fractured ribs and/or the sternal bone. We report on a patient ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • European journal of medical research

دوره 10 11  شماره 

صفحات  -

تاریخ انتشار 2005