Systemic air embolism associated with endoscopic retrograde cholangiopancreatography: A case report  

作　　者：Jing-Hao Li Zhi-Kun Luo Yu Zhang Ting-Ting Lu Yue Deng Rui-Ting Shu Hang Yu 

机构地区：[1]Department of Cardiology Intensive Care Unit,The Second Affiliated Hospital of Hainan Medical University,Hainan Medical University,Haikou 570311,Hainan Province,China [2]Department of Kidney Transplantation,The Second Affiliated Hospital of Hainan Medical University,Hainan Medical University,Haikou 570311,Hainan Province,China

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第11期617-622,共6页世界胃肠内镜杂志（英文）

摘　　要：BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is a key procedure for diagnosing and treating biliary and pancreatic disorders.Although effective,it carries risks,including rare but severe complications such as air embolism.CASE SUMMARY We report a case of a 58-year-old man who developed extensive air embolism during ERCP.He previously underwent a Whipple procedure and experienced a sudden drop in vital signs and loss of consciousness.Immediate intervention with hyperbaric oxygen therapy and supportive care led to gradual recovery.Imaging confirmed widespread air embolism,which resolved with continued treatment.CONCLUSION Air embolism is a rare,critical complication of ERCP,especially in patients with prior surgery such as pancreaticoduodenectomy.Early detection and prompt treatment,including hyperbaric oxygen therapy,are crucial for favorable out-comes.

关 键 词：Endoscopic retrograde cholangiopancreatography Air embolism Hyperbaric oxygen therapy Pancreaticoduodenectomy Complications Intracardiac pneumatosis Case report 

分 类 号：R656[医药卫生—外科学]