[Intestinal gas explosion during operation: a case report].
A case of intestinal gas explosion during the course of carcinologic surgery in a 51-year-old patient is reported. This accident, often dramatic, has become exceptional since the use of mannitol for colonic preparation has disappeared. This incident occurred during the course of a total pelvic exenteration performed under general anaesthesia with inhalation of both a mixture oxygen-nitrous oxide and volatile agents. The colon incision with an electrocautery was contemporaneous with a violent deflagration accountable for organic lesions. This case report reminds us that the risk of a dangerous explosion persists in relation with surgical, anaesthetic and individual risk factors.
Bouhours
G
G
Département d'anesthésie-réanimation, CHU Angers, 49033 cedex 01, Angers, France. bouhoursg@hotmail.com <bouhoursg@hotmail.com>
Tesson
B
B
De Bourmont
S
S
Lorimier
G
G
Granry
J-C
JC
D000230:Adenocarcinoma / Q000601:surgery*; D000769:Anesthesia, Inhalation / Q000009:adverse effects*; D018685:Anesthetics, Inhalation; D015179:Colorectal Neoplasms / Q000601:surgery*; D004234:Diuretics, Osmotic / Q000627:therapeutic use; D004564:Electrocoagulation / Q000009:adverse effects; D005107:Explosions; D006801:Humans; D008297:Male; D008353:Mannitol / Q000627:therapeutic use; D008875:Middle Aged; D009609:Nitrous Oxide; D010100:Oxygen; D010385:Pelvic Exenteration
D018685:Anesthetics, Inhalation; D004234:Diuretics, Osmotic; D008353:Mannitol; D009609:Nitrous Oxide; D010100:Oxygen