Abstract
Background: Massive Systemic Arterial Air Embolism (SAAE) associated with penetrating trauma is a rare condition. A few cases were reported for massive arterial air embolism in the literature. Computed tomography is a fast and easily accessible modality for detecting air in the vasculature. We report CT findings of a rare case with a thoracic gunshot wound, which demonstrate air almost in all systemic vessels like ‘‘full body pneumoangiography’’.
Case Presentation: A 42-year-old male patient with a thoracic gunshot wound was admitted to the Accident and Emergency (A&E) unit in a state of cardiac arrest. Postmortem Computed Tomography (CT) was performed and extensive air was revealed in several great vessels.
Conclusion: We conclude that the underline causes of massive air embolism in our case are two main mechanisms: firstly, massive air enters the vasculature via bronchovascular fistula as there was bilateral lung contusion and directly through cardiac truncus, secondly while CPR was being conducted, massive air was pumped to the systemic circulation.
Keywords: Systemic arterial air embolism, chest trauma with gunshot wound, hemopneumotorax, lung contusion, cardiopulmonary resuscitation, cardiac arrest.
Graphical Abstract
[http://dx.doi.org/10.1016/j.ajem.2013.09.020] [PMID: 24286668]
[http://dx.doi.org/10.1002/ams2.250] [PMID: 28515948]
[http://dx.doi.org/10.1097/00005373-200005000-00029] [PMID: 10823549]
[http://dx.doi.org/10.1136/bcr-2012-008343] [PMID: 23417941]
[http://dx.doi.org/10.1016/j.ijscr.2018.09.014] [PMID: 30268062]
17
1