CT Findings of the Massive Air Embolism in a Case with Thoracic Gunshot Wound: A Special Case Report as if a Whole Body Pneumo- Angiography was Performed.
Systemic arterial air embolism
cardiac arrest
cardiopulmonary resuscitation
chest trauma with gunshot wound
hemopneumotorax
lung contusion
Journal
Current medical imaging
ISSN: 1573-4056
Titre abrégé: Curr Med Imaging
Pays: United Arab Emirates
ID NLM: 101762461
Informations de publication
Date de publication:
2022
2022
Historique:
received:
06
01
2022
revised:
29
01
2022
accepted:
09
02
2022
pubmed:
2
5
2022
medline:
9
9
2022
entrez:
1
5
2022
Statut:
ppublish
Résumé
Massive Systemic Arterial Air Embolism (SAAE) associated with penetrating trauma is a rare condition. A few cases were reported for massive arterial air embolism in the literature. Computed tomography is a fast and easily accessible modality for detecting air in the vasculature. We report CT findings of a rare case with a thoracic gunshot wound, which demonstrate air almost in all systemic vessels like ''full body pneumoangiography''. A 42-year-old male patient with a thoracic gunshot wound was admitted to the Accident and Emergency (A&E) unit in a state of cardiac arrest. Postmortem Computed Tomography (CT) was performed and extensive air was revealed in several great vessels. We conclude that the underline causes of massive air embolism in our case are two main mechanisms: firstly, massive air enters the vasculature via bronchovascular fistula as there was bilateral lung contusion and directly through cardiac truncus, secondly while CPR was being conducted, massive air was pumped to the systemic circulation.
Sections du résumé
BACKGROUND
Massive Systemic Arterial Air Embolism (SAAE) associated with penetrating trauma is a rare condition. A few cases were reported for massive arterial air embolism in the literature. Computed tomography is a fast and easily accessible modality for detecting air in the vasculature. We report CT findings of a rare case with a thoracic gunshot wound, which demonstrate air almost in all systemic vessels like ''full body pneumoangiography''.
CASE PRESENTATION
A 42-year-old male patient with a thoracic gunshot wound was admitted to the Accident and Emergency (A&E) unit in a state of cardiac arrest. Postmortem Computed Tomography (CT) was performed and extensive air was revealed in several great vessels.
CONCLUSION
We conclude that the underline causes of massive air embolism in our case are two main mechanisms: firstly, massive air enters the vasculature via bronchovascular fistula as there was bilateral lung contusion and directly through cardiac truncus, secondly while CPR was being conducted, massive air was pumped to the systemic circulation.
Identifiants
pubmed: 35490329
pii: CMIR-EPUB-122924
doi: 10.2174/0929866529666220426121222
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
1253-1256Informations de copyright
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