[Lethal reaction after contrast medium administration].
A 49-year-old healthy woman was admitted after a horse-riding accident. On arrival to the emergency department she complained of lower abdominal pain. A CT-scan of the abdomen with non ionic contrast media (iomeprol, 150 ml 4 ml/s) was conducted. The patient died nine hours later due to an anaphylactoid reaction to radio contrast media. The autopsy showed pulmonary oedema and pleural effusion, but did not show any sign of trauma. Early interventions with appropriate therapy had no effect on the fatal outcome.
Risgaard
Ole
O
Horsens Sygehus, Anaestesiafdelingen, Horsens. ori@dadlnet.dk
Søe
Charlotte Krabbe
CK
Zejden
Anna
A
D000007:Abdominal Injuries / Q000000981:diagnostic imaging; D000707:Anaphylaxis / Q000139:chemically induced*; D001344:Autopsy; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D007479:Iopamidol / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D008875:Middle Aged; D010996:Pleural Effusion / Q000473:pathology; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; C057937:iomeprol; D007479:Iopamidol