scholarly journals Fatal Cerebral Venous Air Embolism During Endoscopic Retrograde Cholangiopancreatography—Case Report and Review of the Literature

2012 ◽  
Vol 22 (4) ◽  
pp. 371-374 ◽  
Author(s):  
C. Nern ◽  
D. Bellut ◽  
N. Husain ◽  
A. Pangalu ◽  
U. Schwarz ◽  
...  
2018 ◽  
Vol 127 (2) ◽  
pp. 420-423 ◽  
Author(s):  
Lubana K. Afreen ◽  
Ayesha S. Bryant ◽  
Tetsuzo Nakayama ◽  
Timothy J. Ness ◽  
Keith A. Jones ◽  
...  

2009 ◽  
Vol 16 (4) ◽  
pp. 255-262 ◽  
Author(s):  
Michele Bisceglia ◽  
Anna Simeone ◽  
Rosario Forlano ◽  
Angelo Andriulli ◽  
Alberto Pilotto

2021 ◽  
Vol 8 (4) ◽  
pp. 611-614
Author(s):  
Dinesh Suryanarayana Rao ◽  
Veena Velmurugan

Tumors in the posterior fossa can be done in lateral, supine, prone, sitting and in park bench positions. Depending on the exact position of the lesion and the technical preference of the surgeon, sitting position may be preferred. Sitting position grants best possible access to deeper structures with minimal retraction. However, maintenance of anaesthesia in this position for long duration pose some serious challenges to the anaesthesiologist including high risk of venous air embolism (VAE), hemodynamic instability and respiratory disturbances. Here, we present a case report of a 36year old male diagnosed with pineal gland space occupying lesion (SOL), operated in the sitting position under general anaesthesia. We discuss about anaesthetic management and possible complications that can be encountered.


2020 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Hallal Mahmoud ◽  
◽  
Mroue Ahmad ◽  
Kayal Mira ◽  
◽  
...  

Hepatic hydatid cysts are benign cysts in the liver that are the result of parasites infection. They are caused by echinoccocus granulosis or multilocularis. They caused several symptoms like pain, obstructive jaundice, and sepsis. Hydatid cyst can be complicated to cystobiliary communication (CBC) which can be frank CBC or occult CBC. Medical, endoscopic, percutaneous and surgical treatments are different approaches to treat hydatid cyst. Here we report a case of hepatic hydatid cyst with cystobiliary communication, causing obstructive jaundice and treated with sphincterotomy and insertion of biliary stent through endoscopic retrograde cholangiopancreatography (ERCP).


2018 ◽  
Vol 103 (3-4) ◽  
pp. 184-190
Author(s):  
Takaaki Fujimoto ◽  
Yasuhisa Mori ◽  
Yohei Nakashima ◽  
Takao Ohtsuka ◽  
So Nakamura ◽  
...  

Objective: The aim of this study was to evaluate the difficulty of endoscopic retrograde cholangiopancreatography (ERCP) procedures when performed in patients with different types of surgically altered gastrointestinal (GI) anatomies. Summary of background data: Clinical data of 102 consecutive patients with surgically altered GI anatomy who underwent ERCP using a double-balloon enteroscope or a regular gastroendoscope between January 2008 and March 2015 were retrospectively reviewed. Methods: The success rate of reaching the destination, the time until reaching the destination, the success rate of the procedures, and complications were assessed for each type of altered GI anatomy using a double-balloon enteroscope and a regular gastroendoscope. Results: A total of 180 ERCP procedures were performed. The total success rate of reaching the destination was 91% (164 of 180), and that of treatment was 88% (144 of 164). The success rate of reaching the destination in patients with Roux-en-Y hepaticojejunostomy (HJ + R-Y) was significantly lower than that of the other types of reconstruction. The time until reaching the destination was significantly longer in patients after R-Y reconstruction (gastrectomy or HJ) than that after Billroth-II gastrectomy or pancreatoduodenectomy. GI perforation occurred in 2 patients after R-Y reconstruction (1 patient after gastrectomy, and 1 patient after HJ). However, no other complications, such as severe pancreatitis, bleeding, or air embolism, were observed. Conclusions: ERCP for patients with surgically altered GI anatomy is feasible. Improvement of the success rate of reaching the destination in patients after HJ + R-Y and prevention of perforation in those with R-Y reconstruction are necessary.


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