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CASE REPORT
Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 177-179

Case of fatal air embolism during double-J ureteral stent placement


1 Department of Forensic Medicine, Faculty of Basic Medical Sciences, Chongqing Medical University, Chongqing, China
2 Forensic Medical Examination Center of Beijing Public Security Bureau, Beijing, China
3 Faculty of Medical Technology, Chongqing Medical and Pharmaceutical College, Chongqing, China

Correspondence Address:
Shisheng Zhu
Faculty of Medical Technology, Chongqing Medical and Pharmaceutical College, Chongqing 401331
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfsm.jfsm_26_17

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Air embolism is a severe and fatal complication, but it is very rare during transurethral surgery. This report describes a case of air embolism during double-J ureteral stent placement in a 45-year-old woman. During ureteroscopy, a sudden decrease in oxygen saturation and end-expiratory carbon dioxide pressure and cyanosis of the face were observed. Subsequent echocardiography confirmed an air embolism by detecting bubbles in the heart. Despite resuscitative measures, the patient died rapidly. Detailed autopsy was performed to clarify the cause of death and the route of air entering into the circulatory system. The report presented here reminds urologists and pathologists that air embolism can occur during double-J ureteral stent placement and offers some suggestions regarding identification of air embolism at autopsy.


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