The Experts below are selected from a list of 1041 Experts worldwide ranked by ideXlab platform
Andrew Taitano - One of the best experts on this subject based on the ideXlab platform.
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a case of fatal internal jugular Vein Perforation during nasogastric tube insertion
Journal of Surgical Case Reports, 2017Co-Authors: Katherine Smith, Jeffrey P Fleming, Robert D Bennett, Andrew TaitanoAbstract:Nasogastric tube (NGT) insertion is a routine procedure in the management of surgical patients. We report the second case of internal jugular Vein Perforation during NGT insertion. A 79-year-old man presented with diffuse abdominal pain secondary to a perforated viscus. Abdominal CT revealed pneumoperitoneum, necessitating emergent exploratory laparotomy. On post-operative Day 7, the patient developed mild abdominal distension and subjective nausea for which NGT placement was ordered for decompression. Tube placement was confirmed by insufflation of air without aspiration of gastric contents. Output from the NGT upon placement revealed frank blood. The patient then developed respiratory distress requiring intubation, followed by a fatal arrhythmia. Post-mortem exam revealed the trajectory of the NGT through the pharyngeal wall into the right internal jugular Vein. This case illustrates the importance of systematic evaluation of all procedures, as the outcome resulted from failure to recognize the initial error in tube placement.
Choon Kyu Cho - One of the best experts on this subject based on the ideXlab platform.
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hydromediastinum and bilateral hydrothorax after right subclavian Vein catheterization a case report
Korean Journal of Anesthesiology, 2008Co-Authors: Hun Ju Yang, Young Ju Kim, Jung Ha Cho, Choon Kyu ChoAbstract:In many clinical settings, patients undergoing major surgery and patients with critical illness or cancer routinely receive a central venous catheter (CVC). Although several complications including hematoma formation, hemothorax, hydrothorax, chylothorax and cardiac tamponade with vascular injury are associated with the placement of CVCs, their incidence are not frequent. Especially, hydromediastinum and bilateral hydrothorax are very rare. We experienced an unusual complication of hydromediastinum and bilateral hydrothorax by left brachiocephalic Vein Perforation with misplacement of the cathete r tip after right subclavian Vein catheterization. (Korean J Anesthesiol 2008; 55: 99～103)
Haibiao Yan - One of the best experts on this subject based on the ideXlab platform.
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intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy two case reports and literature review
BMC Urology, 2017Co-Authors: Zhanbin Yang, Zhibin Xie, Haibiao YanAbstract:Intravenous misplacement of a nephrostomy tube after percutaneous nephrostolithotomy (PCNL) is very rare in clinical experiences. This report summarizes the characteristics and management of intravenous misplacement. We present two uncommon cases of intravenous nephrostomy catheter misplacement after PCNL from among 4220 patients who underwent PCNL between January 2009 and December 2015. The tip of the tube was located in the inferior vena cava in one case and in the renal Vein in the other. We preferably performed open surgery to treat the two patients, mainly to remove the residual calculi and to prepare for any possible adverse event. All patients were successfully managed and discharged uneventfully. Intravenous nephrostomy tube misplacement is an uncommon PCNL complication. Furthermore, the study illustrates the importance of prompt diagnosis of renal Vein Perforation and its prompt management using open surgery, similar to conservative therapies.
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Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: two case reports and literature review
BMC, 2017Co-Authors: Zhanbin Yang, Zhibin Xie, Haibiao YanAbstract:Abstract Background Intravenous misplacement of a nephrostomy tube after percutaneous nephrostolithotomy (PCNL) is very rare in clinical experiences. This report summarizes the characteristics and management of intravenous misplacement. Case presentation We present two uncommon cases of intravenous nephrostomy catheter misplacement after PCNL from among 4220 patients who underwent PCNL between January 2009 and December 2015. The tip of the tube was located in the inferior vena cava in one case and in the renal Vein in the other. We preferably performed open surgery to treat the two patients, mainly to remove the residual calculi and to prepare for any possible adverse event. All patients were successfully managed and discharged uneventfully. Conclusion Intravenous nephrostomy tube misplacement is an uncommon PCNL complication. Furthermore, the study illustrates the importance of prompt diagnosis of renal Vein Perforation and its prompt management using open surgery, similar to conservative therapies
Vittorio Fineschi - One of the best experts on this subject based on the ideXlab platform.
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iatrogenic left common iliac artery and Vein Perforation during lumbar discectomy a fatal case
Forensic Science International, 2015Co-Authors: Francesco Paolo Busardo, Paola Frati, Iacopo Carbone, Paola Pugnetti, Vittorio FineschiAbstract:Abstract Iatrogenic vascular injury during lumbar disk surgery, although rare, is a serious complication, and when it does occur, can be sudden and life-threatening. The risk of injury to the pelvic vessels intra-operatively can be explained by the close proximity of the retroperitoneal vessels to the vertebral column therefore causing injury to the anterior longitudinal ligament, which can give access to the retroperitoneal space. If signs of circulatory instability are noted during lumbar disk surgery, early diagnosis of vascular injury and urgent transperitoneal surgery or emergency stenting can save the patient's life. Here, is presented the case of a 52-year-old man who underwent an elective lumbar discectomy for a rightward disk herniation in the L4–L5 intervertebral space and died 12 h after the operation for a hemorrhagic shock due to a severe intra-abdominal hemorrhage following iatrogenic left common iliac artery and Vein Perforation during lumbar discectomy.
Katherine Smith - One of the best experts on this subject based on the ideXlab platform.
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a case of fatal internal jugular Vein Perforation during nasogastric tube insertion
Journal of Surgical Case Reports, 2017Co-Authors: Katherine Smith, Jeffrey P Fleming, Robert D Bennett, Andrew TaitanoAbstract:Nasogastric tube (NGT) insertion is a routine procedure in the management of surgical patients. We report the second case of internal jugular Vein Perforation during NGT insertion. A 79-year-old man presented with diffuse abdominal pain secondary to a perforated viscus. Abdominal CT revealed pneumoperitoneum, necessitating emergent exploratory laparotomy. On post-operative Day 7, the patient developed mild abdominal distension and subjective nausea for which NGT placement was ordered for decompression. Tube placement was confirmed by insufflation of air without aspiration of gastric contents. Output from the NGT upon placement revealed frank blood. The patient then developed respiratory distress requiring intubation, followed by a fatal arrhythmia. Post-mortem exam revealed the trajectory of the NGT through the pharyngeal wall into the right internal jugular Vein. This case illustrates the importance of systematic evaluation of all procedures, as the outcome resulted from failure to recognize the initial error in tube placement.
