Document Detail

A case of a gas embolism in the aorta induced by necrotizing gastroenteritis.
MedLine Citation:
PMID:  18272134     Owner:  NLM     Status:  MEDLINE    
A 69-year-old man with epigastralgia and vomiting continuing for 7 hours was transported to this department. At the time of examination, he was drowsy and in a state of shock. He showed a markedly distended abdomen and epigastric tenderness. Arterial blood gas showed hypoxia and severe metabolic acidosis. Computed tomography revealed intramural gas in the wall of the stomach and small intestine, and multiple gas in the portal vein, mesenteric vein, pulmonary artery, coronary artery, and ascending aorta. A laboratory and radiographic examination indicated dehydration, inflammation, liver dysfunction, renal failure, necrotizing gastroenteritis, and multiple air embolisms. He died soon after these examinations. The autopsy results supported the clinical diagnosis and did not show any aortitis or an obvious right-left shunt. Physicians should note the presence of an arterial gas embolism in patients with pneumatosis intestinalis and massive gas in the venous system, which can be immediately fatal.
Youichi Yanagawa; Shinichirou Iwamoto; Akiyoshi Hagiwara; Souichirou Seno
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  26     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-14     Completed Date:  2008-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  253.e3-4     Citation Subset:  IM    
Department of Traumatology and Critical Care Medicine, National Defense Medical College.
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MeSH Terms
Embolism, Air / etiology*,  radiography
Fatal Outcome
Gastroenteritis / complications*
Gastrointestinal Tract / pathology*

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