title: A case of life-threatening post-operative diffuse alveolar hemorrhage in patient with recent chemotherapy -A case report-.
abstract: A 53-year-old woman who had undergone total gastrectomy and received adjuvant chemotherapy two months ago underwent adhesiolysis of the small bowel. She presented with sudden desaturation and dyspnea of unknown etiology at postanesthetic care unit. Following ET intubation, the endotracheal tube suction revealed massive hemoptysis. Bilateral lung infiltrated on her chest radiograph and bronchofibroscopic examination disclosed a diffuse hemorrhage on both lung fields without bleeding focus. These findings were consistent with diffuse alveolar hemorrhage (DAH) syndrome. As per our knowledge and search, this is the first reported case of DAH that occurred during the recovery period immediately after general anesthesia. DAH is known to have a high mortality rate and an early detection followed by adequate treatment is essential.
authors.affiliation: Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea.
authors.forename: Mi-Young
authors.initials: MY
authors.lastname: Kwon
authors.forename: Yoon Kyung
authors.initials: YK
authors.lastname: Lee
authors.forename: In-Cheol
authors.initials: IC
authors.lastname: Choi
authors.forename: Eun Ho
authors.initials: EH
authors.lastname: Lee
authors.forename: Nam-Yun
authors.initials: NY
authors.lastname: Kim
authors.forename: Young-Jae
authors.initials: YJ
authors.lastname: Chang