Perkütan Nefrolitotomi Operasyonunun Nadir Ama Ölümcül Bir Komplikasyonu; Masif Hava Embolisi
Masif hava embolisini; otopsi öncesinde postmortem bilgisayarlı tomografiçekilmedi ise ya da daha önceden şüphelenerek su altındaorgan diseksiyonu yapılmadı ise tanılamak zor bir durumdur. Bu şüpheninolduğu durumlarda detaylı bir otopsi yanında iyi bir olgu öyküsüve önceki klinik bilgilerini değerlendirmek tanıda referans noktaolabilir.Bu olgu sunumunda otopside kolaylıkla atlanabilecek perkütan nefrolitotomikomplikasyonu olan masif hava embolisi sunulmuş vepostmortem BT görüntülemenin önemi vurgulanmıştır.
A Rare But Fatal Complication Of Percutaneous Nephrolithotomy; Massive Air Embolism
It’s hard to diagnose the massive air embolism if postmortem computed tomography is not performed during autopsy or if the organ dissection is not made under water by suspecting previously. In the case of this suspicion, a good case history along with a detailed examination and evaluation of previous clinical information may serve as a reference point. In this report; it has been presented an autopsy case of massive air embolism due to a complication of percutaneous nephrolithotomy that may be easily missed during autopsy examinations and has been highlighted the importance of postmortem computerized tomography.
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- Hillewig E, Aghayev E, Jackowski C, Christe
A, Plattner T, Thali MJ. Gas embolism fol-lowing intraosseous medication application
proven by post-mortem multislice computed
tomography and autopsy. Resuscitation
2007;72(1):149–53 doi: https://doi.org/10.1016/
j.resuscitation.2006.06.023
- Fujioka M, Niino D, Ito M, Matsuoka Y. Fatal
paradoxical air embolism diagnosed by postmortem
imaging and autopsy. J Forensic Sci,
2012 Jul;57(4):1118-9. doi: 10.1111/j.1556-
4029.2012.02094.x.
- Tanju S, Guven K, Toker A, Dilege S. Massive
air embolism during coronary multislice spiral
computed tomography. European Journal of
Cardio-Thoracic Surgery : Official Journal of
the European Association for Cardio-Thoracic
Surgery 2010;37:1228. doi:10.1016/
j.ejcts.2009.12.009.
- Jorens PG, Van Marck E, Snoeckx a, Parizel
PM. Nonthrombotic pulmonary embolism. The
European Respiratory Journal 2009;34:452–74.
doi:10.1183/09031936.00141708.
- Parikh GP, Sonde SR, Kadam P. Venous air
embolism: A complication during percutaneous
nephrolithotomy. Indian Journal of Urology :
IJU : Journal of the Urological Society of India
2014;30:348–9. doi:10.4103/0970-
1591.128510.
- Taylor E, Miller J, Chi T, Stoller ML. Complications
associated with percutaneous nephrolithotomy.
Translational Andrology and Urology
2012;1:223–8. doi:10.3978/j.issn.2223-
4683.2012.12.01.
- 1.Heinemann A, Vogel H, Heller M, Tzikas A,
Püschel K. Investigation of medical intervention
with fatal outcome: the impact of postmortem
CT and CT angiography. La Radiologia
Medica 2015;120:835–45. doi:10.1007/
s11547-015-0574-5.