148 0

Development of bilateral tension pneumothorax under anesthesia in a Boerhaave's syndrome patient - a case report-

Title
Development of bilateral tension pneumothorax under anesthesia in a Boerhaave's syndrome patient - a case report-
Author
조상윤
Keywords
Boerhaave syndrome; General anesthesia; Positive-pressure respiration; Pneumothorax
Issue Date
2016-04
Publisher
Korean Society of Anesthesiologists
Citation
Korean Journal of Anesthesiology, v. 69, NO 2, Page. 175-180
Abstract
A 33-year-old male visited the emergency room with abdominal pain which developed after a vomiting episode. Based on the pneumomediastinum findings from a chest radiograph and a contrast-enhanced chest and abdominal computed tomography scan, the patient was diagnosed with Boerhaave's syndrome. Preoperative radiologic findings showed no pneumothorax or pleural effusion. Once anesthesia was administered, the patient developed near complete cardiopulmonary collapse due to a bilateral tension pneumothorax, which was treated by bilateral thoracentesis, followed by chest tube insertion. Despite a left side rupture, the damaged right lung was unable to overcome single right ventilation, so the surgery was completed via right thoracotomy. The ruptured site was treated, and the patient was transferred to the intensive care unit. We discuss the anesthetic implications of this disease and how to prevent fatal complications.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4097/kjae.2016.69.2.175http://hdl.handle.net/20.500.11754/41141
ISSN
2005-6419; 2005-7563
DOI
10.4097/kjae.2016.69.2.175
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE