Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report
Abstract Background Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition that can present as a spectrum of nonspecific symptoms, ranging from cough, dyspnea, and hemoptysis to severe hypoxemic respiratory failure. Perioperative DAH is frequently caused by negative pressure pulmona...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-021-02697-6 |
| _version_ | 1818576497593548800 |
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| author | Yumin Jo Jagyung Hwang Jieun Lee Hansol Kang Boohwi Hong |
| author_facet | Yumin Jo Jagyung Hwang Jieun Lee Hansol Kang Boohwi Hong |
| author_sort | Yumin Jo |
| collection | DOAJ |
| description | Abstract Background Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition that can present as a spectrum of nonspecific symptoms, ranging from cough, dyspnea, and hemoptysis to severe hypoxemic respiratory failure. Perioperative DAH is frequently caused by negative pressure pulmonary edema resulting from acute airway obstruction, such as laryngospasm, although hemorrhage itself is rare. Case presentation This case report describes an unexpected hemoptysis following monitored anesthesia care for vertebroplasty. A 68-year-old Asian woman, with a compression fracture of the third lumbar vertebra was admitted for vertebroplasty. There were no noticeable events during the procedure. After the procedure, the patient was transferred to the postanesthesia care unit (PACU), at which sudden hemoptysis occurred. The suspected airway obstruction may have developed during transfer or immediate arrive in PACU. In postoperative chest x-ray, newly formed perihilar consolidation observed in both lung fields. The patients was transferred to a tertiary medical institution for further evaluation. She diagnosed with DAH for hemoptysis, new pulmonary infiltrates on chest x-ray and anemia. The patient received supportive care and discharged without further events. Conclusions Short duration of airway obstruction may cause DAH, it should be considered in the differential diagnosis of postoperative hemoptysis of unknown etiology. |
| first_indexed | 2024-12-16T06:14:58Z |
| format | Article |
| id | doaj.art-9e44ec3cb185496bbf4b9a0c72037fb6 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-16T06:14:58Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-9e44ec3cb185496bbf4b9a0c72037fb62022-12-21T22:41:18ZengBMCJournal of Medical Case Reports1752-19472021-03-011511410.1186/s13256-021-02697-6Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case reportYumin Jo0Jagyung Hwang1Jieun Lee2Hansol Kang3Boohwi Hong4Department of Anesthesiology and Pain Medicine, Chungnam National University HospitalDepartment of Anesthesiology and Pain Medicine, Daejeon Woori HospitalDepartment of Anesthesiology and Pain Medicine, Chungnam National University HospitalDepartment of Anesthesiology and Pain Medicine, Chungnam National University HospitalDepartment of Anesthesiology and Pain Medicine, Chungnam National University HospitalAbstract Background Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition that can present as a spectrum of nonspecific symptoms, ranging from cough, dyspnea, and hemoptysis to severe hypoxemic respiratory failure. Perioperative DAH is frequently caused by negative pressure pulmonary edema resulting from acute airway obstruction, such as laryngospasm, although hemorrhage itself is rare. Case presentation This case report describes an unexpected hemoptysis following monitored anesthesia care for vertebroplasty. A 68-year-old Asian woman, with a compression fracture of the third lumbar vertebra was admitted for vertebroplasty. There were no noticeable events during the procedure. After the procedure, the patient was transferred to the postanesthesia care unit (PACU), at which sudden hemoptysis occurred. The suspected airway obstruction may have developed during transfer or immediate arrive in PACU. In postoperative chest x-ray, newly formed perihilar consolidation observed in both lung fields. The patients was transferred to a tertiary medical institution for further evaluation. She diagnosed with DAH for hemoptysis, new pulmonary infiltrates on chest x-ray and anemia. The patient received supportive care and discharged without further events. Conclusions Short duration of airway obstruction may cause DAH, it should be considered in the differential diagnosis of postoperative hemoptysis of unknown etiology.https://doi.org/10.1186/s13256-021-02697-6Ambulatory surgical proceduresHemoptysisInterstitial lung diseasesCase report |
| spellingShingle | Yumin Jo Jagyung Hwang Jieun Lee Hansol Kang Boohwi Hong Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report Journal of Medical Case Reports Ambulatory surgical procedures Hemoptysis Interstitial lung diseases Case report |
| title | Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report |
| title_full | Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report |
| title_fullStr | Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report |
| title_full_unstemmed | Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report |
| title_short | Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report |
| title_sort | negative pressure related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty a case report |
| topic | Ambulatory surgical procedures Hemoptysis Interstitial lung diseases Case report |
| url | https://doi.org/10.1186/s13256-021-02697-6 |
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