Journals / SDÜ Tıp Fakültesi Dergisi / 2026 / Cilt: 25 Sayı: 2

A rare but fatal complication of percutaneous nephrolithotomy; Massive air embolism

Perkütan nefrolitotomi operasyonunun nadir ama ölümcül bir komplikasyonu; masif hava embolisi.

Pages
189–193
Publication Date
2018-03-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this report; it has been presented an autopsy case of massive air embolism due to a complication of percutaneous nephrolithotomy that may be easily missed during autopsy examinations and has been highlighted the importance of postmortem computerized tomography.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:It’s hard to diagnose the massive air embolism if postmortem computed tomography is not performed during autopsy or if the organ dissection is not made under water by suspecting previously.
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Key Findings & Data:In the case of this suspicion, a good case history along with a detailed examination and evaluation of previous clinical information may serve as a reference point.
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Conclusion & Impact:In this report; it has been presented an autopsy case of massive air embolism due to a complication of percutaneous nephrolithotomy that may be easily missed during autopsy examinations and has been highlighted the importance of postmortem computerized tomography.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Adli tıp · otopsi · postmortem

Abstract

It’s hard to diagnose the massive air embolism if postmortem computed tomography is not performed during autopsy or if the organ dissection is not made under water by suspecting previously. In the case of this suspicion, a good case history along with a detailed examination and evaluation of previous clinical information may serve as a reference point. In this report; it has been presented an autopsy case of massive air embolism due to a complication of percutaneous nephrolithotomy that may be easily missed during autopsy examinations and has been highlighted the importance of postmortem computerized tomography.

Özet

Masif hava embolisini; otopsi öncesinde postmortem bilgisayarlı tomografi çekilmedi ise ya da daha önceden şüphelenerek su altında organ diseksiyonu yapılmadı ise tanılamak zor bir durumdur. Bu şüphenin olduğu durumlarda detaylı bir otopsi yanında iyi bir olgu öyküsü ve önceki klinik bilgilerini değerlendirmek tanıda referans nokta olabilir. Bu olgu sunumunda otopside kolaylıkla atlanabilecek perkütan nefrolitotomi komplikasyonu olan masif hava embolisi sunulmuş ve postmortem BT görüntülemenin önemi vurgulanmıştır.

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Cite This Article

Yıldız, A. (2018). A rare but fatal complication of percutaneous nephrolithotomy; Massive air embolism. SDÜ Tıp Fakültesi Dergisi, Cilt: 25 Sayı: 2, 189–193. https://doi.org/10.17343/sdutfd.354762

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References (9)

  1. Heinemann A, Vogel H, Heller M, Tzikas A, Püschel K. Investigation of medical intervention with fatal outcome: the impact of post-mortem CT and CT angiography. La Radiologia Medica 2015;120:835–45. doi:10.1007/s11547-015-0574-5.
  2. Taylor E, Miller J, Chi T, Stoller ML. Complications associated with percutaneous nephrolithotomy. Translational Andrology and Urology 2012;1:223–8. doi:10.3978/j.issn.2223-4683.2012.12.01.
  3. Parikh GP, Sonde SR, Kadam P. Venous air embolism: A complication during percutaneous nephrolithotomy. Indian Journal of Urology: IJU: Journal of the Urological Society of India 2014;30:348–9. doi:10.4103/0970-1591.128510.
  4. Jorens PG, Van Marck E, Snoeckx a, Parizel PM. Nonthrombotic pulmonary embolism. The European Respiratory Journal 2009;34:452–74. doi:10.1183/09031936.00141708.
  5. Tanju S, Guven K, Toker A, Dilege S. Massive air embolism during coronary multislice spiral computed tomography. European Journal of Cardio-Thoracic Surgery: Official Journal of the European Association for Cardio-Thoracic Surgery 2010;37:1228. doi:10.1016/j.ejcts.2009.12.009.
  6. Fujioka M, Niino D, Ito M, Matsuoka Y. Fatal paradoxical air embolism diagnosed by postmortem imaging and autopsy. J Forensic Sci, 2012 Jul;57(4):1118-9. doi: 10.1111/j.1556-4029.2012.02094.x.
  7. Hillewig E, Aghayev E, Jackowski C, Christe A, Plattner T, Thali MJ. Gas embolism following intraosseous medication application proven by post-mortem multislice computed tomography and autopsy. Resuscitation 2007;72(1):149–53 doi: https://doi.org/10.1016/j.resuscitation.2006.06.023
  8. Parikh GP, Sonde SR, Kadam P. Venous air embolism: A complication during percutaneous nephrolithotomy. Indian Journal of Urology: IJU: Journal of the Urological Society of India 2014;30:348–9. doi:10.4103/0970-1591.128510.
  9. Tanju S, Guven K, Toker A, Dilege S. Massive air embolism during coronary multislice spiral computed tomography. European Journal of Cardio-Thoracic Surgery: Official Journal of the European Association for Cardio-Thoracic Surgery 2010;37:1228. doi:10.1016/j.ejcts.2009.12.009.