[Paradoxal gazous embolism in hepatic trauma. Contribution of hyperbaric oxygenotherapy].
A young man was admitted for a polytraumatism associating head trauma and blunt abdominal trauma with hepatic injury. He was managed with a damage control surgery with a perihepatic packing. During the second look surgery, he developed a paradoxal gazous embolism by air aspiration in the sus-hepatic vein. This has never been described before in such traumatism. The patient presented a respiratory distress, a circulatory shock due to right infarction and an intracranial hypertension with bilateral mydriasis. He was immediately treated by hyperbaric oxygenotherapy. The evolution was good and he recovered without sequelae.
Thuile
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Service de réanimation polyvalente, CHU de Toulouse-Purpan, place du Docteur-Baylac, TSA 70034, 31059 Toulouse cedex 9, France. caroth34@hotmail.com
Buys
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Idabouk
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Sanchez
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Genestal
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D000007:Abdominal Injuries / Q000150:complications / Q000601:surgery / Q000628:therapy; D006259:Craniocerebral Trauma / Q000150:complications / Q000601:surgery / Q000628:therapy; D004618:Embolism, Air / Q000150:complications* / Q000628:therapy*; D006801:Humans; D006931:Hyperbaric Oxygenation; D019586:Intracranial Hypertension / Q000150:complications / Q000628:therapy; D008099:Liver / Q000293:injuries*; D008297:Male; D009104:Multiple Trauma / Q000601:surgery / Q000628:therapy; D015878:Mydriasis / Q000150:complications / Q000628:therapy; D053120:Respiratory Aspiration; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012769:Shock / Q000209:etiology / Q000628:therapy; D055815:Young Adult