| Pulmonary Embolism after Surgery for Intestinal Obstruction . |
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Kyoung Woong Park, Woon Hyok Chung |
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Department of Anesthesiology, Catholic Medical College, Seoul, Korea. |
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| Abstract |
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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. |
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