title: [Paradoxal gazous embolism in hepatic trauma. Contribution of hyperbaric oxygenotherapy].
abstract: 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.
authors.affiliation: Service de réanimation polyvalente, CHU de Toulouse-Purpan, place du Docteur-Baylac, TSA 70034, 31059 Toulouse cedex 9, France. caroth34@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Thuile
authors.forename: S
authors.initials: S
authors.lastname: Buys
authors.forename: L
authors.initials: L
authors.lastname: Idabouk
authors.forename: P
authors.initials: P
authors.lastname: Sanchez
authors.forename: M
authors.initials: M
authors.lastname: Genestal
mesh_terms: 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