Korean J Anesthesiol.  1979 Sep;12(3):302-307.

Pulmonary Embolism after Surgery for Intestinal Obstruction

Affiliations
  • 1Department of Anesthesiology, Catholic Medical College, Seoul, Korea.

Abstract

This is a case report of pulmonary embolism which occurred as a complication of mesenteric venous stasis with sepais. This 49 year old nun was operated upon for an obstructed intestine under general anesthesia with halothane and d-tubocurarine. She had a hystrectomy for myoma 2 years ago and has ailed for 6 days from this condition. The patient became dyspneic and cyanotic suddenly three hours after the surgery. The chest X-ray revealed three or four bilateral, rounded and moderately increased densities, and her ECG showed a large S wave in limb leads, P-pulmonare, and right ventricular strain pattern with right axis deviation. CPPV with 100% oxygen by the manual method improved the condition of the patient for about three hours, but tachycardia and a failing heart could not be corrected in site of digitalis, steroid, diuretics and heparinization. The patient died 11 hours after the operation.


MeSH Terms

Anesthesia, General
Digitalis
Diuretics
Electrocardiography
Extremities
Halothane
Heart
Heparin
Humans
Intestinal Obstruction*
Intestines
Methods
Myoma
Nuns
Oxygen
Pulmonary Embolism*
Tachycardia
Thorax
Tubocurarine
Diuretics
Halothane
Heparin
Oxygen
Tubocurarine
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