A Case of Bronchoperitoneal Fistula Presenting Right Subphrenic Free Air under Mechanical Ventilation.
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概要
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Bronchoperitoneal fistula is rare and only a few cases have been reported. We experienced a case of bronchoperitoneal fistula which induced right subphrenic free air under a mechanical ventilation. A 55-year-old male underwent synechotomy for repeated ileus in a local hospital. The patient's general condition deteriorated immediately after the operation. The patient was transferred to our hospital for intensive care. A chest X-ray immediately after the tracheal intubation showed an apparent right subphrenic free air. Both the air leaks synchronized with mechanical ventilation during and after the operation and the intra-bronchial leakage of normal saline with povidone-iodine injected into the intraperitoneal space confirmed the diagnosis of bronchoperitoneal fistula. In the case of an intraperitoneal free air during mechanical ventilation, we should take into account the possibility of Bronchoperitoneal fistula.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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