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Ann Fr Anesth Reanim · Jun 2009
Case Reports[Paradoxal gazous embolism in hepatic trauma. Contribution of hyperbaric oxygenotherapy].
- C Thuile, S Buys, L Idabouk, P Sanchez, and M Genestal.
- Service de réanimation polyvalente, CHU de Toulouse-Purpan, place du Docteur-Baylac, TSA 70034, 31059 Toulouse cedex 9, France. caroth34@hotmail.com
- Ann Fr Anesth Reanim. 2009 Jun 1; 28 (6): 592-4.
AbstractA young man was admitted for a polytraumatism associating head trauma and blunt abdominal trauma with hepatic injury. He was managed with a damage control surgery with a perihepatic packing. During the second look surgery, he developed a paradoxal gazous embolism by air aspiration in the sus-hepatic vein. This has never been described before in such traumatism. The patient presented a respiratory distress, a circulatory shock due to right infarction and an intracranial hypertension with bilateral mydriasis. He was immediately treated by hyperbaric oxygenotherapy. The evolution was good and he recovered without sequelae.
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