Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report
| Autor: | Toshikatsu Nobunaga, Toshihiro Kitai, Mitsunori Ikeda, Tatsuya Sugino, Nobuhiro Hayashi, Masanobu Kohno, Isao Ukai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Colonic ischemia
medicine.medical_specialty medicine.medical_treatment Perforation (oil well) Ischemia Case Report Balloon lcsh:RD78.3-87.3 03 medical and health sciences Amniotic fluid embolism 0302 clinical medicine 030202 anesthesiology Intensive care Occlusion Medicine business.industry Colostomy lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine lcsh:RC86-88.9 medicine.disease Resuscitative endovascular balloon occlusion of the aorta Surgery Anesthesiology and Pain Medicine Damage control surgery lcsh:Anesthesiology business |
| Zdroj: | JA Clinical Reports JA Clinical Reports, Vol 5, Iss 1, Pp 1-4 (2019) |
| ISSN: | 2363-9024 |
| Popis: | Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) can control massive postpartum hemorrhage. Case presentation A 41-year-old woman transferred to hospital following cesarean section presented in refractory hemorrhagic shock. REBOA was blindly performed in the emergency department. She immediately underwent hysterectomy and damage control surgery in the operating room. The aortic balloon, whose position was confirmed at zone II by postoperative X-ray, provided intermittent occlusion for 40 min during surgery. Hemodynamics were stabilized with these interventions, with massive transfusion required for severe coagulopathy perioperatively. She gradually recovered with intensive care but suffered ascending colon ischemia with perforation on day 16. She received a colostomy and was discharged without sequelae after 130 days. Amniotic fluid embolism was diagnosed according to clinical criteria and supplemental serum markers. Conclusions This patient suffered colonic ischemia possibly due to REBOA used to manage amniotic fluid embolism. REBOA requires careful consideration to avoid complications. |
| Databáze: | OpenAIRE |
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