Systemic Air Embolism Following Diagnostic Bronchoscopy

A 51-year-old man was admitted to have a nodule evaluated using chest computed tomography (CT). Shortly after curetting and transbronchial biopsies via bronchoscopy, hypotension, bradycardia, unconsciousness, and left hemiplegia appeared and resolved within one hour. Head CT showed cerebral air embo...

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Autores principales: Tsuji, Taisuke, Sonobe, Shoko, Koba, Taro, Maekura, Toshiya, Takeuchi, Naoko, Tachibana, Kazunobu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457926/
https://www.ncbi.nlm.nih.gov/pubmed/28381749
http://dx.doi.org/10.2169/internalmedicine.56.7836
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author Tsuji, Taisuke
Sonobe, Shoko
Koba, Taro
Maekura, Toshiya
Takeuchi, Naoko
Tachibana, Kazunobu
author_facet Tsuji, Taisuke
Sonobe, Shoko
Koba, Taro
Maekura, Toshiya
Takeuchi, Naoko
Tachibana, Kazunobu
author_sort Tsuji, Taisuke
collection PubMed
description A 51-year-old man was admitted to have a nodule evaluated using chest computed tomography (CT). Shortly after curetting and transbronchial biopsies via bronchoscopy, hypotension, bradycardia, unconsciousness, and left hemiplegia appeared and resolved within one hour. Head CT showed cerebral air embolism. The following day, lower left quadrant pain developed. Pneumatosis intestinalis on abdominal CT and elevation of creatine kinase and troponin T levels indicated air embolism in the mesenteric and coronary arteries. Some reports have documented cerebral air embolism alone after bronchoscopy; however, we should consider systemic air embolism, even when encountering a patient without specific symptoms related to any organ.
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spelling pubmed-54579262017-06-08 Systemic Air Embolism Following Diagnostic Bronchoscopy Tsuji, Taisuke Sonobe, Shoko Koba, Taro Maekura, Toshiya Takeuchi, Naoko Tachibana, Kazunobu Intern Med Case Report A 51-year-old man was admitted to have a nodule evaluated using chest computed tomography (CT). Shortly after curetting and transbronchial biopsies via bronchoscopy, hypotension, bradycardia, unconsciousness, and left hemiplegia appeared and resolved within one hour. Head CT showed cerebral air embolism. The following day, lower left quadrant pain developed. Pneumatosis intestinalis on abdominal CT and elevation of creatine kinase and troponin T levels indicated air embolism in the mesenteric and coronary arteries. Some reports have documented cerebral air embolism alone after bronchoscopy; however, we should consider systemic air embolism, even when encountering a patient without specific symptoms related to any organ. The Japanese Society of Internal Medicine 2017-04-01 /pmc/articles/PMC5457926/ /pubmed/28381749 http://dx.doi.org/10.2169/internalmedicine.56.7836 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tsuji, Taisuke
Sonobe, Shoko
Koba, Taro
Maekura, Toshiya
Takeuchi, Naoko
Tachibana, Kazunobu
Systemic Air Embolism Following Diagnostic Bronchoscopy
title Systemic Air Embolism Following Diagnostic Bronchoscopy
title_full Systemic Air Embolism Following Diagnostic Bronchoscopy
title_fullStr Systemic Air Embolism Following Diagnostic Bronchoscopy
title_full_unstemmed Systemic Air Embolism Following Diagnostic Bronchoscopy
title_short Systemic Air Embolism Following Diagnostic Bronchoscopy
title_sort systemic air embolism following diagnostic bronchoscopy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457926/
https://www.ncbi.nlm.nih.gov/pubmed/28381749
http://dx.doi.org/10.2169/internalmedicine.56.7836
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