Delayed Hemorrhage Following Laser Frenotomy Leading to Hypovolemic Shock

2020 ◽  
Author(s):  
Dong Hyun Kim ◽  
Alexander Dickie ◽  
Andy C.H. Shih ◽  
M. Elise Graham
Keyword(s):  
Hypovolemic Shock ◽  
Delayed Hemorrhage

Iatrogenic thoracic aortic injury in esophagectomy – a case report and literature review

2019 ◽  
Vol 98 (6) ◽  
pp. 256-259
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Thoracic Aorta ◽  
Aortic Rupture ◽  
Hypovolemic Shock ◽  
Left Lung ◽  
Aortic Injury ◽  
Thoracoscopic Esophagectomy ◽  
Neoadjuvant Radiochemotherapy ◽  
Thoracic Aortic Injury

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.

Thoracic CT findings at hypovolemic shock

1998 ◽  
Vol 39 (4) ◽  
pp. 400-404
Author(s):  
A. Rotondo ◽  
Orlando Catalano ◽  
R. Grassi ◽  
M. Scialpi ◽  
G. Angelelli
Keyword(s):  
Hypovolemic Shock ◽  
Thoracic Ct ◽  
Ct Findings

Severe, protracted anaphylaxis with hypovolemic shock after sublingual misoprostol administration

2021 ◽  
pp. 1-2
Author(s):  
Tvrtko Tupek ◽  
Analena Gregorić ◽  
Dino Pavoković ◽  
Anis Cerovac ◽  
Dubravko Habek
Keyword(s):  
Hypovolemic Shock ◽  
Sublingual Misoprostol

scholarly journals A Multicentric, Randomized, Controlled Phase III Study of Centhaquine (Lyfaquin®) as a Resuscitative Agent in Hypovolemic Shock Patients

Drugs ◽  
2021 ◽  
Author(s):  
Anil Gulati ◽  
Rajat Choudhuri ◽  
Ajay Gupta ◽  
Saurabh Singh ◽  
S. K. Noushad Ali ◽  
...  
Keyword(s):  
Hypovolemic Shock ◽  
Phase Iii ◽  
Randomized Controlled ◽  
Phase Iii Study

scholarly journals Management of Complex Pelvic Fracture with Associated Both Column Acetabular Fracture Judet-Letournel Type and a Coccygeal Fracture in a Severe Polytrauma Patient

2021 ◽  
pp. 192-201
Author(s):  
Jessica Fiolin ◽  
Ludwig Andre Powantia Pontoh ◽  
Ismail Hadisoebroto Dilogo
Keyword(s):  
Pelvic Fracture ◽  
Hypovolemic Shock ◽  
Stable Condition ◽  
Acetabular Fractures ◽  
Advanced Technique ◽  
Operative Strategy ◽  
Ilioinguinal Approach ◽  
Outcome Score ◽  
Satisfactory Outcome ◽  
Sacroiliac Joint Disruption

Comprehensive emergency managements and early stabilization are pivotal upon treating complex pelvic and acetabular fractures. A thorough operative strategy is required to determine the best operative approach based on the patient’s general condition, available facilities, and surgeon preferences in such complex fracture configuration. Advanced technique of the fixation is necessary during a skillful execution of surgery in order to achieve good treatment results. An 18-years-old female crushed by a bus upon crossing street, presented with hypovolemic shock with ISS polytrauma score 50 consisting of right acetabular associated both column fracture, bilateral pelvic fracture anteroposterior compression type 3, and coccygeal fracture with bilateral drop foot. She underwent emergency laparotomy, had her ovary, bladder, and intestine primarily sutured, and then we immobilized the pelvic using anterior frame external fixator, which was maintained for 6 days. Upon stable condition, we performed right ilioinguinal approach and modified Stoppa with lateral window for the left side, while Kocher-Langenbeck technique was used to approach the posterior acetabular column. Postoperative radiology showed an adequate internal fixation in both right acetabular columns, successful reconstruction of pelvic ring which was fixated the left ischium, left superior and inferior pubic rami, and full restoration of left sacroiliac joint disruption. Majeed pelvic outcome score was 54, while Hannover pelvic outcome score was good and the patient was able to sit without pain 2 months postoperative. Management of complex pelvic-acetabular-coccygeal fracture requires a holistic chain of treatment by emphasizing the prompt emergency management, accurate preoperative planning, and excellent execution of reconstructive surgical strategy to achieve satisfactory outcome.

Outcome of delayed hemorrhage following surgical hemorrhoidectomy

1993 ◽  
Vol 36 (8) ◽  
pp. 743-746 ◽  
Author(s):  
Les Rosen ◽  
Paul Sipe ◽  
John J. Stasik ◽  
Robert D. Riether ◽  
Howard D. Trimpi
Keyword(s):  
Delayed Hemorrhage
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