EDITOR'S QUIZ: GI SNAPSHOT: An unusual cause of postoperative dyspnoea

Cadet, B.; Ashford, R. U.; Joseph, S.; Boer, P. de; Miller, G. V.
September 2004
Gut;Sep2004, Vol. 53 Issue 9, p1274
Academic Journal
The article presents a question on chest radiography and computed tomography (CT) scan. An elderly gentleman underwent exploration of a dislocated hip arthroplasty. During surgery, he regurgitated bile stained fluid into his laryngeal mask airway. His chest remained clear, saturation did not fall and chest radiography immediately postoperatively was unremarkable. Twelve days postoperatively, he developed respiratory distress associated with right sided pleuritic chest pain. Electrography revealed a right heart strain pattern. Oxygen saturation initially was 80%. At medical review, chest radiography was interpreted as right lower zone shadowing. It was asked what the CT scan showed and what was the underlying cause of the problem.


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