A case report of unexpected sudden cardiac death due to aortic rupture following laparoscopic appendectomy.

Abstract:

INTRODUCTION:Aortic dissection is a very rare but life-threatening condition associated with a high mortality. Unexpected sudden cardiac death due to aortic rupture following laparoscopic appendectomy is very rare and may be difficult to diagnose. However, early diagnosis of aortic dissection is essential for the timely treatment and outcome of aortic dissection. CASE PRESENTATION:A 50-year-old man underwent a laparoscopic appendectomy. Postoperatively, the patient complained of dyspnea and chest pain. In 25 minutes after arrival in the postanesthesia care unit (PACU), the patient was in asystole. Then, he underwent cardiopulmonary resuscitation (CPR) according to advanced cardiac life support (ACLS) protocol using 1 mg of epinephrine, one 200J DC shock for ventricular fibrillation (V-fib). After that, his noninvasive blood pressure (NIBP) was 80/40 mm Hg, pulse rate (PR) was 140 beats/min, and peripheral oxygen saturation (SpO2) was 84%. His electrocardiogram (ECG) finding was atrial fibrillation (A-fib). After 20 minutes, the patient developed asystole rhythm again and CPR was restarted. He remained severely hypotensive despite vasopressors and died after 5 hours CPR. A forensic autopsy was performed postmoterm and thoracic and abdominal aortic dissection along the root of ascending aorta was present and massive hematoma within right and left thorax was present. CONCLUSION:Acute aortic disease can be difficult to recognize; therefore, diagnosis is sometimes delayed or missed. It is important to recognize the atypical symptoms of aortic dissection and maintain a broad differential diagnosis if patients complained of abdominal pain.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Joo C,Min JW,Noh G,Seo J

doi

10.1097/MD.0000000000012823

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

e12823

issue

42

eissn

0025-7974

issn

1536-5964

pii

00005792-201810190-00043

journal_volume

97

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Coreceptor usage of Chinese HIV-1 and impact of X4/DM transmission clusters among recently infected men who have sex with men.

    abstract::To characterize the current frequency of HIV-1 coreceptor usage in China and assess the candidacy of CCR5 antagonists for treatment of HIV infections. In addition, we aimed to evaluate the potential of X4/DM virus transmission in recently infected men who have sex with men (MSM) individuals.Viral tropism testing was p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005017

    authors: Li X,Zhu K,Li W,Fang K,Musa TH,Song Y,Du G,Gao R,Guo Y,Yan W,Xuan Y,Zhong P,Wei P

    更新日期:2016-09-01 00:00:00

  • A chronic granulomatous syndrome of unknown origin.

    abstract::A small clinically distinct group of patients with widespread tissue granulomata are described. The principal presenting symptoms are malaise, fever, and weight loss, although a wide variety of complaints are documented. Pulmonary involvement is uncommon. The granulomata are noncaseating with a few multinucleate giant...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00005792-199011000-00001

    authors: Friedland JS,Weatherall DJ,Ledingham JG

    更新日期:1990-11-01 00:00:00

  • Tacrolimus-induced diabetic ketoacidosis with subsequent rapid recovery of endogenous insulin secretion after cessation of tacrolimus: A case report with review of literature.

    abstract:RATIONALE:Immunosuppressive agents such as tacrolimus (TAC) and cyclosporin might cause glycemic disorders by suppressing insulin production. However, only a few cases of diabetic ketoacidosis (DKA) with longitudinal evaluation of endogenous insulin secretion related to TAC administration have been reported. PATIENT C...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000016992

    authors: Maruyama K,Chujo D

    更新日期:2019-09-01 00:00:00

  • Predictive Significance of a New Prognostic Score for Patients With Diffuse Large B-Cell Lymphoma in the Interim-Positron Emission Tomography Findings.

    abstract::We hypothesized that the objective treatment response of patients with diffuse large B-cell lymphoma (DLBCL) was affected by many factors such as pathophysiological, biological, and pharmaceutical mechanisms. This retrospective study aimed to evaluate the predictive significance of clinical prognostic factors and inte...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002808

    authors: Kong Y,Qu L,Li Y,Liu D,Lv X,Han J

    更新日期:2016-02-01 00:00:00

  • Characteristics of diabetic nephropathy patients without diabetic retinopathy: A retrospective observational study.

    abstract::The purpose of the current study was to investigate the characteristics of patients with diabetic nephropathy (DN) without diabetic retinopathy (DR).One hundred four patients with biopsy-proven DN, and 52 patients with diabetes mellitus (DM) without DR who were diagnosed as membranous nephropathy by renal biopsy were ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006805

    authors: Li XQ,Zheng X,Chen M,Zhao MH

    更新日期:2017-05-01 00:00:00

  • Co-initiation of continuous renal replacement therapy, peritoneal dialysis, and extracorporeal membrane oxygenation in neonatal life-threatening hyaline membrane disease: A case report.

    abstract:RATIONALE:Extracorporeal membrane oxygenation (ECMO) is a well-known technique to provide cardio-pulmonary support. Although continuous renal replacement therapy (CRRT) is frequently indicated, the need for faster fluid removal as the primary indication for ECMO is uncommon. Experiences on concomitant applications of E...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014194

    authors: Li G,Zhang L,Sun Y,Chen J,Zhou C

    更新日期:2019-01-01 00:00:00

  • Propranolol eye drops in patients with corneal neovascularization.

    abstract:RATIONALE:Studies performed in animal models of corneal neovascularization suggested the possible efficacy of a treatment with propranolol. Corneal neovascularization is one of the most feared complications of Stevens-Johnson syndrome that frequently involves ocular surface. We report the first 2 patients with severe o...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013002

    authors: Filippi L,de Libero C,Zamma Gallarati B,Fortunato P,Piozzi E

    更新日期:2018-11-01 00:00:00

  • Accuracy of intercellular adhesion molecule-1 for diagnosing sepsis: A systematic review and meta-analysis protocol.

    abstract:BACKGROUND:Sepsis is a complex and life-threatening systemic disease. A positive blood culture is the criterion standard of diagnosis for sepsis; however, it does not produce results for 24 to 72 hours. Besides, the clinical manifestations of sepsis are variable and nonspecific. Therefore, a new diagnostic biomarker fo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016019

    authors: Li XJ,Tan EL,Zhao CP,Yan J

    更新日期:2019-06-01 00:00:00

  • Comparison of neuroendoscopic surgery and craniotomy for supratentorial hypertensive intracerebral hemorrhage: A meta-analysis.

    abstract:BACKGROUND:In recent years, neuroendoscopy has been used as a method for treating intracerebral hemorrhages (ICHs). However, the efficacy and safety of neuroendoscopic surgery is still controversial compared with that of craniotomy. Our aim was to compare the outcomes of neuroendoscopic surgery and craniotomy in patien...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000007876

    authors: Ye Z,Ai X,Hu X,Fang F,You C

    更新日期:2017-09-01 00:00:00

  • The prevalence and genotype distribution of human papillomaviruses among women in Taizhou, China.

    abstract::Human papillomavirus (HPV) infection is the leading cause of cervical cancer and precancerous lesions. Knowledge regarding the prevalence and genotype distribution of HPV in women is important to establish strategies for cervical cancer screening and HPV vaccination. This study aimed to evaluate the characteristics of...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017293

    authors: Jin R,Qian H,Zhang Y,Yuan D,Bao J,Zhou H,Chen M,Huang J,Yu H

    更新日期:2019-09-01 00:00:00

  • Acute Primary Pneumococcal Purulent Pericarditis With Cardiac Tamponade: A Case Report and Literature Review.

    abstract::Bacterial pericarditis is a rapidly progressive and highly fatal infection, and is often diagnosed postmortem in half of the cases. Even with drainage and antibiotics, the mortality rate is high. Gram-positive cocci, specifically Streptococcus penumoniae, have been the most common cause of bacterial pericarditis with ...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000001709

    authors: Patel H,Patel C,Soni M,Patel A,Banda V

    更新日期:2015-10-01 00:00:00

  • Halomonas, a newly recognized human pathogen causing infections and contamination in a dialysis center: three new species.

    abstract::Our Renal Care Center (RCC) is a separate building, performing almost 2500 outpatient dialysis runs per month. In May 2007, 2 patients developed, days apart, bacteremia with an apparently identical nonfermentative Gram-negative rod. Because of difficulty identifying the organism, testing in the Biolog system identifie...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0b013e3181aede29

    authors: Stevens DA,Hamilton JR,Johnson N,Kim KK,Lee JS

    更新日期:2009-07-01 00:00:00

  • Concurrent lymphoma and hemophilia B in a pediatric patient: A case report.

    abstract:INTRODUCTION:Lymphoma is the third most common cancer among children in the United States and Europe. Hemophilia is a congenital bleeding disorder characterized by deficiency of coagulation factor VIII or IX. Hemophilia B is a consequence of factor IX deficiency and has an incidence of 1 in 20,000 male births. A concur...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015474

    authors: Lu G,Qiao L,Li D,Liu Z,Zhao F,Yu D

    更新日期:2019-05-01 00:00:00

  • Differences in pregnancy outcomes, prenatal care utilization, and maternal complications between teenagers and adult women in Korea: A nationwide epidemiological study.

    abstract::Teenage mothers are at high risk for maternal and neonatal complications. This study aimed to evaluate the socioeconomic circumstances of teenage pregnancy, and determine whether these increased risks remained after adjustment for socioeconomic circumstances in Korea. Using the National Health Insurance Corporation da...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004630

    authors: Lee SH,Lee SM,Lim NG,Kim HJ,Bae SH,Ock M,Kim UN,Lee JY,Jo MW

    更新日期:2016-08-01 00:00:00

  • Biomechanical effect of bone resorption of the spinous process after single-segment interspinous dynamic stabilization device implantation: A finite element analysis.

    abstract::This study aims to explore the influence of bone resorption of the spinous process after single-segment interspinous process device (IPD) implantation on the biomechanics of the lumbar spine.The 3D finite element model of the lumbar spine (L3-L5) was modified, and 2 models that simulated the presence and absence of bo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011140

    authors: Zhu ZQ,Duan S,Wang KF,Liu HY,Xu S,Liu CJ

    更新日期:2018-07-01 00:00:00

  • The association between IUGR and maternal inherited thrombophilias: A case-control study.

    abstract::One of the risk factors for vascular obstetric complications, such as intrauterine growth restriction (IUGR), is inherited thrombophilias. Nevertheless, routine screening for thrombophilias is not endorsed in pregnant women due to their low prevalence and conflicting results of published studies regarding the usefulne...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012799

    authors: Dugalić S,Petronijevic M,Stefanovic A,Jeremic K,Petronijevic SV,Soldatovic I,Pantic I,Djunic I,Jokic Z,Djokovic F,Dotlic J,Zaric M,Todorovic J

    更新日期:2018-10-01 00:00:00

  • Treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia using cortical strut allografts and internal plating: A retrospective clinical study.

    abstract::Children with fibrous dysplasia (FD) chronically suffer from pain, pathological fractures, and limb deformities. The most effective methods for managing the associated pathological fractures remain controversial. The purpose of this study was to evaluate the clinical results of the treatment of diaphyseal pathological...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014318

    authors: Zhang P,Kang L,Hu Q,Xia C,Yu H,Wang L,Lian K,Lin D

    更新日期:2019-02-01 00:00:00

  • Timing of surgical ligation and morbidities in very low birth weight infants.

    abstract::The present study examined whether early patent ductus arteriosus (PDA) surgical ligation at ≤2 weeks of life was associated with increased morbidities and mortality in very low birth weight infants (VLBWIs) who were diagnosed with hemodynamically significant (hs) PDA. Between December 2013 and December 2015, a total ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006557

    authors: Youn Y,Moon CJ,Lee JY,Lee C,Sung IK

    更新日期:2017-04-01 00:00:00

  • Integrative cancer treatment may have a survival benefit in patients with lung cancer: A retrospective cohort study from an integrative cancer center in Korea.

    abstract::Integrative oncology is being increasingly adopted in mainstream cancer care to strengthen anticancer effects and to control cancer-related symptoms.The objective of this study is to identify the characteristics of patients with lung cancer treated at an integrative cancer center in Korea and to determine the effects ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016048

    authors: Bae K,Kim E,Kong JS,Kim J,Park SJ,Jun HJ,Cho CK,Kim MK,Yoo HS

    更新日期:2019-06-01 00:00:00

  • Relationship between bone turnover markers and the heel stiffness index measured by quantitative ultrasound in middle-aged and elderly Japanese men.

    abstract::The aim of the present study was to investigate the age-related patterns and the relationships between serum levels of tartrate-resistant acid phosphatase-5b (TRACP-5b) or bone-specific alkaline phosphatase (BAP), and the heel stiffness index measured by quantitative ultrasound (QUS) in 429 Japanese men, with special ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009962

    authors: Nishimura T,Arima K,Abe Y,Kanagae M,Mizukami S,Okabe T,Tomita Y,Goto H,Horiguchi I,Aoyagi K

    更新日期:2018-02-01 00:00:00

  • Influence of early extensive posterior decompression on hyponatremia and cardiopulmonary dysfunction after severe traumatic cervical spinal cord injury: A clinical observational study.

    abstract::Retrospective single institution observational study.The aim of the present study was to analyze the influence of early extensive posterior decompression on complications in patients with severe traumatic cervical spinal cord injury (tcSCI).Cervical SCI is associated with a high prevalence of hyponatremia and cardiopu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021188

    authors: Yang C,Wang G,Xu S,Li G,Wang Q

    更新日期:2020-07-17 00:00:00

  • Isolated Langerhans cell histiocytosis of the spleen: A case report.

    abstract:RATIONALE:Langerhans cell histiocytosis (LCH) is a relatively rare disorder characterized by the proliferation of abnormal Langerhans cells. Splenic involvement usually presents in children with multisystem LCH, and isolated LCH of the spleen is a very rare disease. Herein, we report a case of isolated splenic LCH in a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012378

    authors: Hong L,Sun G,Peng L,Tu Y,Li Y,Xiao W

    更新日期:2018-09-01 00:00:00

  • Clinical assessment of synbiotics for treating chronic kidney disease: A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:This research aims to evaluate the efficacy and safety of synbiotics for treating chronic kidney disease. METHODS:Related articles written in English were sourced from EMBASE, PubMed, Cochrane Library, and China National Knowledge Infrastructure. These articles were used in the evaluation of the effect of s...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000022993

    authors: Li XJ,Lu YY,Wang Y

    更新日期:2020-12-04 00:00:00

  • Very late-onset endocarditis complicated by non-significant aortic regurgitation after device closure of perimembranous ventricular septal defect.

    abstract:INTRODUCTION:Aortic regurgitation (AR) was recognized as a major, but rare complication after device closure for perimembranous ventricular septal defects (PmVSD). Most of them are temporary and non-significant. Infectious endocarditis (IE) is another extremely rare post-procedure complication of PmVSD. Theoretically, ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020120

    authors: Tang C,Zhou K,Hua Y,Wang C

    更新日期:2020-05-01 00:00:00

  • Identification of a novel mutation of RUNX2 in a family with supernumerary teeth and craniofacial dysplasia by whole-exome sequencing: A case report and literature review.

    abstract:RATIONALE:Supernumerary teeth are those that teeth in excess number than the normal count. It is usually associated with genetic syndromes when present in more numbers. Several causal genes, such as APC, NHS, TRPS1, EVC and RUNX2, have been identified. However, etiology of supernumerary teeth remains largely unclear. ...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000011328

    authors: Ma D,Wang X,Guo J,Zhang J,Cai T

    更新日期:2018-08-01 00:00:00

  • Spondylectomy and lateral lumbar interbody fusion for thoracolumbar kyphosis in an adult with achondroplasia: A case report.

    abstract:RATIONALE:Fixed thoracolumbar kyphosis with spinal stenosis in adult patients with achondroplasia presents a challenging issue. We describe the first case in which spondylectomy and minimally invasive lateral access interbody arthrodesis were used for the treatment of fixed severe thoracolumbar kyphosis and lumbar spin...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008983

    authors: Miyazaki M,Kanezaki S,Notani N,Ishihara T,Tsumura H

    更新日期:2017-12-01 00:00:00

  • Primary spinal glioblastoma multiforme: A case report and review of the literature.

    abstract:RATIONALE:Primary spinal glioblastoma multiforme (GBM) is a rare clinical entity with an aggressive course and an invariably dismal prognosis. Its clinical characteristics, radiologic and pathologic findings, and treatment protocols have been discussed in a few cases. PATIENT CONCERNS:A 15-year-old female was admitted...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006634

    authors: Shen CX,Wu JF,Zhao W,Cai ZW,Cai RZ,Chen CM

    更新日期:2017-04-01 00:00:00

  • Diagnostic Value of Serum IgG4 for IgG4-Related Disease: A PRISMA-compliant Systematic Review and Meta-analysis.

    abstract::Many studies about serum IgG4 for the diagnosis of IgG4-related disease (IgG4-RD) have been reported. However, these studies had relatively small sample sizes and the diagnostic accuracy values varied much between them.The aim of this study was to perform a meta-analysis to evaluate the diagnostic value of serum IgG4 ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000003785

    authors: Hao M,Liu M,Fan G,Yang X,Li J

    更新日期:2016-05-01 00:00:00

  • The top-cited systematic reviews/meta-analyses in tuberculosis research: A PRISMA-compliant systematic literature review and bibliometric analysis.

    abstract:BACKGROUND:The top-cited systematic reviews/meta-analyses in tuberculosis research have not been identified. The objective of this study was to identify the 100 top-cited systematic reviews/meta-analyses in tuberculosis research, and to understand factors resulting in highly cited works, and establish trends in systema...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000004822

    authors: Zhang Y,Huang J,Du L

    更新日期:2017-02-01 00:00:00

  • Perinatal outcome in women with bacterial sepsis: A cross-sectional study from West China.

    abstract::Maternal bacterial sepsis during pregnancy and the postpartum period is a common cause of maternal mortality and fetal morbidity and mortality. This study was performed to analyze perinatal prognosis and related factors of maternal bacterial sepsis in west China.We conducted a cross-sectional study of pregnant women w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017751

    authors: Duan R,Xu X,Wang X,Yu H

    更新日期:2019-11-01 00:00:00