Acute respiratory distress syndrome following esophageal varice sclerotherapy

Autor: Jesda Singhavejsakul, Lumduan Wongsawasdi, Nuthapong Ukarapol, Sanit Reungrongrat
Rok vydání: 2004
Předmět:
Zdroj: Esophagus. 1
ISSN: 1612-9067
1612-9059
DOI: 10.1007/s10388-004-0022-4
Popis: We report serious pleuropulmonary complications in a 6-year-old girl with an underlying extrahepatic biliary atresia who underwent esophageal varice sclerotherapy (EVS). The EVS was performed paravariceally with a 25-gauge disposable injection needle using polidocanol as a sclerosant. A total of 11 ml of the agent was injected in this session. The patient reported epigastric pain and developed a high fever with tachypnea at 11 and 17 h after the procedure, respectively. After 72 h following the EVS, she became dyspnic and required much more oxygen therapy. A follow-up chest X-ray revealed a moderate right pleural effusion and widening of the mediastinum. The arterial blood gas, obtained during FiO2 of 0.8, revealed PaO2 of 123 mmHg. Bilateral alveolar infiltration was noted in the follow-up chest X-rays. Acute respiratory distress syndrome (ARDS) was diagnosed. She was supportively treated with mechanical ventilator, broad-spectrum antibiotics, and right chest drainage. The patient was discharged home after a 3-week hospitalization with propranolol prophylaxis. A pathogenesis of ARDS following EVS was reviewed.
Databáze: OpenAIRE
Externí odkaz: