Portal pyelophlebitis identified by CT scan in a patient with ischemic bowel.
Humans; Male; Aged; Necrosis; Fatal Outcome; *Portal System; Ischemia/*complications/pathology; Phlebitis/diagnostic imaging/*etiology; X-Ray Computed; *Tomography; Intestine; Embolism; Air/diagnostic imaging/*etiology; Small/*blood supply
A 65-year-old male was found to have hepatic portal venous gas (HPVG) by computed tomogram secondary to ischemic bowel. Despite aggressive surgical and antibiotic treatment, the patient died within 12 hours. Portal pyelophlebitis, when identified by air in the portal venous system, is a grave indicator of ischemic bowel with a very high mortality rate, except in patients with inflammatory bowel disease.
Ghani A; Kasirajan K; Smith J
The American surgeon
1995
1995-12
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Complications and Perioperative Management of Patients Undergoing Thoracic Endovascular Aortic Repair.
*Endovascular Procedures; *Postoperative Complications/diagnostic imaging/physiopathology/surgery; Aorta; Aortic Aneurysm; aortic syndrome; Blood Vessel Prosthesis Implantation; complications; Coronary Angiography; Embolism; endograft; endovascular; Endovascular Procedures; Equipment Failure/*statistics & numerical data; Fistula; Humans; Ischemia; Kidney – Injuries; medical management; Mesenteric Ischemia; Perioperative Care; Postoperative Complications – Therapy; Practice Guidelines as Topic; Retrospective Studies; Spinal Cord – Pathology; Spinal Cord Ischemia/diagnostic imaging/*etiology; stent graft; Stents; Stroke; Thoracic – Surgery; thoracic aorta; Thoracic/physiopathology/*surgery; Treatment Outcome
Endovascular treatments have become increasingly common for patients with a variety of thoracic aortic pathologies. Although considered less invasive than traditional open surgical approaches, they are nonetheless complex procedures. Patients undergo manipulation of an often calcified aorta near the origin of the carotid and subclavian vessels and have stents placed in a curved vessel adjacent to a perpetually beating heart. These stents can obstruct blood flow to the spinal cord, induce an inflammatory response, and in rare cases erode into the adjacent trachea or esophagus. Renal complications range from contrast-induced nephropathy to hypotension and ischemia to dissection. Emboli can lead to strokes and mesenteric ischemia. These patients have complex medical histories, and skilled perioperative management is critical to achieving the best clinical outcomes. Here, we review the medical management of the most common complications in these patients including stroke, spinal cord ischemia, renal injury, retrograde dissections, aortoesophageal and aortobronchial fistulas, postimplantation syndrome, mesenteric ischemia, and endograft failure.
Sattah Anna P; Secrist Michael H; Sarin Shawn
Journal of intensive care medicine
2018
2018-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/0885066617730571" target="_blank" rel="noreferrer noopener">10.1177/0885066617730571</a>
Fat embolism after liposuction in Klippel-Trenaunay syndrome.
Adult/etiology; Embolism; Fat/*etiology; Female; Humans; Hypertrophy; Klippel-Trenaunay-Weber Syndrome/*surgery; Lipectomy/*adverse effects; Lower Extremity/blood supply/surgery; Postoperative Complications; Respiratory Distress Syndrome; Vascular Malformations/surgery; Young Adult
Fat embolism syndrome (FES) is a rare but potentially fatal postoperative complication from liposuction. We present the case of a 24-year-old woman with Klippel-Trenaunay syndrome who developed FES as a complication of lower extremity liposuction. There may be an increased risk of FES in patients with vascular malformations undergoing liposuction.
Zeidman Michael; Durand Paul; Kundu Neilendu; Doumit Gaby
The Journal of craniofacial surgery
2013
2013-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SCS.0b013e3182953a63" target="_blank" rel="noreferrer noopener">10.1097/SCS.0b013e3182953a63</a>