• Ann Fr Anesth Reanim · Apr 2003

    Case Reports

    [Intestinal gas explosion during operation: a case report].

    • G Bouhours, B Tesson, S De Bourmont, G Lorimier, and J-C Granry.
    • Département d'anesthésie-réanimation, CHU Angers, 49033 cedex 01, Angers, France. bouhoursg@hotmail.com <bouhoursg@hotmail.com>
    • Ann Fr Anesth Reanim. 2003 Apr 1; 22 (4): 366-8.

    AbstractA case of intestinal gas explosion during the course of carcinologic surgery in a 51-year-old patient is reported. This accident, often dramatic, has become exceptional since the use of mannitol for colonic preparation has disappeared. This incident occurred during the course of a total pelvic exenteration performed under general anaesthesia with inhalation of both a mixture oxygen-nitrous oxide and volatile agents. The colon incision with an electrocautery was contemporaneous with a violent deflagration accountable for organic lesions. This case report reminds us that the risk of a dangerous explosion persists in relation with surgical, anaesthetic and individual risk factors.

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