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KMID : 0356920240770020278
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Korean Journal of Anesthesiology
2024 Volume.77 No. 2 p.278 ~ p.281
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Venous air emboli during esophagoscopy confirmed by computed tomographic pulmonary angiography -a case report-
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Thadakorn Tantisarasart
Thara Tantichamnankul
Chanatthee Kitsiripant
Panjai Choochuen
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Abstract
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Background: Esophagogastroduodenoscopy (EGD) is vital for the diagnosis and treatment of various gastrointestinal conditions but carries a low risk of venous air embolism (VAE). We report a case of VAE during EGD, confirmed by computed tomographic pulmonary angiography (CTPA).
Case: A 56-year-old male with a history of hypopharyngeal cancer underwent EGD for dysphagia-related esophageal dilation. Signs of VAE were noted, prompting swift interventions, including oxygen therapy, positional changes, and CTPA. CTPA revealed the Mercedes-Benz sign, pneumomediastinum, and a minimal pneumothorax. The patient’s oxygen saturation improved within 30 min before undergoing CTPA, and he was discharged on postoperative day 4.
Conclusions: Timely recognition of VAE, resulting in appropriate interventions supported by CTPA, resulted in favorable patient outcomes.
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KEYWORD
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Air embolism, Anesthesia, Computed tomography angiography, Digestive system endoscopy, Esophageal stenosis, Esophagogastroduodenoscopy, Hypopharyngeal neoplasms
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