Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report
Abstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) can control massive postpartum hemorrhage. Case presentation A 41-year-old woman transferred to hospital following cesarean section presented in refractory hemorrhagic shock. REBOA was blindly performed in the emer...
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doaj-cc45da44ae87435bbfa18ae3c91f86aa2021-04-02T16:41:53ZengSpringerOpenJA Clinical Reports2363-90242019-07-01511410.1186/s40981-019-0266-6Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case reportMitsunori Ikeda0Toshihiro Kitai1Nobuhiro Hayashi2Isao Ukai3Toshikatsu Nobunaga4Masanobu Kohno5Tatsuya Sugino6Department of Emergency and Critical Care Center, Hyogo Prefectural Nishinomiya HospitalDepartment of Obstetrics and Gynecology, Hyogo Prefectural Nishinomiya HospitalDepartment of Emergency and Critical Care Center, Hyogo Prefectural Nishinomiya HospitalDepartment of Emergency and Critical Care Center, Hyogo Prefectural Nishinomiya HospitalDepartment of Obstetrics and Gynecology, Hyogo Prefectural Nishinomiya HospitalDepartment of Emergency and Critical Care Center, Hyogo Prefectural Nishinomiya HospitalDepartment of Emergency and Critical Care Center, Hyogo Prefectural Nishinomiya HospitalAbstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) can control massive postpartum hemorrhage. Case presentation A 41-year-old woman transferred to hospital following cesarean section presented in refractory hemorrhagic shock. REBOA was blindly performed in the emergency department. She immediately underwent hysterectomy and damage control surgery in the operating room. The aortic balloon, whose position was confirmed at zone II by postoperative X-ray, provided intermittent occlusion for 40 min during surgery. Hemodynamics were stabilized with these interventions, with massive transfusion required for severe coagulopathy perioperatively. She gradually recovered with intensive care but suffered ascending colon ischemia with perforation on day 16. She received a colostomy and was discharged without sequelae after 130 days. Amniotic fluid embolism was diagnosed according to clinical criteria and supplemental serum markers. Conclusions This patient suffered colonic ischemia possibly due to REBOA used to manage amniotic fluid embolism. REBOA requires careful consideration to avoid complications.http://link.springer.com/article/10.1186/s40981-019-0266-6Colonic ischemiaAmniotic fluid embolismResuscitative endovascular balloon occlusion of the aorta |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mitsunori Ikeda Toshihiro Kitai Nobuhiro Hayashi Isao Ukai Toshikatsu Nobunaga Masanobu Kohno Tatsuya Sugino |
spellingShingle |
Mitsunori Ikeda Toshihiro Kitai Nobuhiro Hayashi Isao Ukai Toshikatsu Nobunaga Masanobu Kohno Tatsuya Sugino Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report JA Clinical Reports Colonic ischemia Amniotic fluid embolism Resuscitative endovascular balloon occlusion of the aorta |
author_facet |
Mitsunori Ikeda Toshihiro Kitai Nobuhiro Hayashi Isao Ukai Toshikatsu Nobunaga Masanobu Kohno Tatsuya Sugino |
author_sort |
Mitsunori Ikeda |
title |
Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report |
title_short |
Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report |
title_full |
Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report |
title_fullStr |
Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report |
title_full_unstemmed |
Colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (REBOA) used to manage amniotic fluid embolism: a case report |
title_sort |
colonic ischemia possibly due to resuscitative endovascular balloon occlusion of the aorta (reboa) used to manage amniotic fluid embolism: a case report |
publisher |
SpringerOpen |
series |
JA Clinical Reports |
issn |
2363-9024 |
publishDate |
2019-07-01 |
description |
Abstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) can control massive postpartum hemorrhage. Case presentation A 41-year-old woman transferred to hospital following cesarean section presented in refractory hemorrhagic shock. REBOA was blindly performed in the emergency department. She immediately underwent hysterectomy and damage control surgery in the operating room. The aortic balloon, whose position was confirmed at zone II by postoperative X-ray, provided intermittent occlusion for 40 min during surgery. Hemodynamics were stabilized with these interventions, with massive transfusion required for severe coagulopathy perioperatively. She gradually recovered with intensive care but suffered ascending colon ischemia with perforation on day 16. She received a colostomy and was discharged without sequelae after 130 days. Amniotic fluid embolism was diagnosed according to clinical criteria and supplemental serum markers. Conclusions This patient suffered colonic ischemia possibly due to REBOA used to manage amniotic fluid embolism. REBOA requires careful consideration to avoid complications. |
topic |
Colonic ischemia Amniotic fluid embolism Resuscitative endovascular balloon occlusion of the aorta |
url |
http://link.springer.com/article/10.1186/s40981-019-0266-6 |
work_keys_str_mv |
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