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首页> 外文期刊>Medicine, science, and the law >Fatal air embolism during endoscopic retrograde cholangiopancreatography (ERCP): An 'impossible' diagnosis for the forensic pathologist
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Fatal air embolism during endoscopic retrograde cholangiopancreatography (ERCP): An 'impossible' diagnosis for the forensic pathologist

机译：内镜逆行胰胆管造影术（ERCP）期间的致命性空气栓塞：法医病理学家的“不可能”诊断

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摘要

Fatal air embolism related to endoscopic retrograde cholangiopancreatography is a very rare phenomenon. The authors describe the case of a 51-year-old female patient who developed this mortal complication; a computed tomography (CT) examination was performed in articulo mortis by the physicians. Autopsy was unreliable because of bizarre post-mortem changes (reabsorption of intra-cardiac gas vs. conservation of intra-cranial gas) and a lack of strong diagnostic value of histological findings. The right diagnosis was possible thanks only to the CT examination that permitted the assumption of this possible cause of death before the autopsy and to prepare the necessary procedures to recognise and probe air embolism. This case exemplifies how early post-mortem imaging can be crucial to avoid a wrong diagnosis.
机译：与内镜逆行胰胆管造影术相关的致命性空气栓塞是非常罕见的现象。作者描述了一名发生这种致命并发症的51岁女性患者的病例。医师在尸体中进行了计算机断层扫描（CT）检查。尸检不可靠是因为死后的变化（心内气体的重吸收与颅内气体的保留）以及缺乏组织学诊断价值。只有通过CT检查，才可能进行正确的诊断，因为CT检查可以在尸检前假定这一可能的死亡原因，并准备必要的程序以识别和探查空气栓塞。这种情况说明了验尸早期成像对避免错误诊断至关重要。

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