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Bowel Oedema Necessitating Urgent Abdominal Decompression Following Cardiopulmonary Bypass: An Exaggerated Presentation of a Recognised Complication.


ABSTRACT: Gastrointestinal complications after the termination of cardiopulmonary bypass are uncommon; however, they can lead to serious consequences. We encountered an unusual case of an 11-month-old infant who developed gross abdominal distention, leading to ventilatory and haemodynamic embarrassment following separation from the cardiopulmonary bypass. This presumably was a severe manifestation of the inflammatory response observed with extracorporeal circulation, which manifested as bowel oedema and was diagnosed using point-of-care ultrasound. As a rescue measure, urgent abdominal decompression was performed by cutting open the abdominal wall, which restored the ventilator and haemodynamic parameters to almost normal values.

SUBMITTER: Haldar R 

PROVIDER: S-EPMC7434349 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Bowel Oedema Necessitating Urgent Abdominal Decompression Following Cardiopulmonary Bypass: An Exaggerated Presentation of a Recognised Complication.

Haldar Rudrashish R   Dixit Aanchal A  

Turkish journal of anaesthesiology and reanimation 20200205 4


Gastrointestinal complications after the termination of cardiopulmonary bypass are uncommon; however, they can lead to serious consequences. We encountered an unusual case of an 11-month-old infant who developed gross abdominal distention, leading to ventilatory and haemodynamic embarrassment following separation from the cardiopulmonary bypass. This presumably was a severe manifestation of the inflammatory response observed with extracorporeal circulation, which manifested as bowel oedema and w  ...[more]

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