Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report

Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedl...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Nils Theuerkauf [verfasserIn] Tobias Weismüller [verfasserIn] Carsten Weißbrich [verfasserIn] Jens-Christian Schewe [verfasserIn] Christian Putensen [verfasserIn] Christian Bode [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Chest imaging Pneumonia ARDS Obesity treatment Abscess Extracorporeal membrane oxygenation

Übergeordnetes Werk:	In: BMC Anesthesiology - BMC, 2003, 20(2020), 1, Seite 3
Übergeordnetes Werk:	volume:20 ; year:2020 ; number:1 ; pages:3

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12871-020-01101-y

Katalog-ID:	DOAJ076186334

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520			\|a Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedly harmless option to reduce body weight for the growing number of obese people. We present a case of a young patient who developed a direct ARDS due to initially undiagnosed abdominal pathologies caused by an IGB therapy. Case presentation A 23-year old woman was admitted because of a direct ARDS for extracorporeal membrane oxygenation (ECMO) therapy. Weeks before, an IGB has been removed because of abdominal pain and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation was endoscopically clipped and the ARDS was successfully treated under ECMO therapy. Conclusion This case illustrates that a patient presenting with direct ARDS may have upper abdominal pathologies caused by a rare complication of a supposedly harmless treatment.
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650		4	\|a Obesity treatment
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allfieldsGer	10.1186/s12871-020-01101-y doi (DE-627)DOAJ076186334 (DE-599)DOAJ29c4b2807d484fd0956cb6544dec6560 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Nils Theuerkauf verfasserin aut Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedly harmless option to reduce body weight for the growing number of obese people. We present a case of a young patient who developed a direct ARDS due to initially undiagnosed abdominal pathologies caused by an IGB therapy. Case presentation A 23-year old woman was admitted because of a direct ARDS for extracorporeal membrane oxygenation (ECMO) therapy. Weeks before, an IGB has been removed because of abdominal pain and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation was endoscopically clipped and the ARDS was successfully treated under ECMO therapy. Conclusion This case illustrates that a patient presenting with direct ARDS may have upper abdominal pathologies caused by a rare complication of a supposedly harmless treatment. Chest imaging Pneumonia ARDS Obesity treatment Abscess Extracorporeal membrane oxygenation Anesthesiology Tobias Weismüller verfasserin aut Carsten Weißbrich verfasserin aut Jens-Christian Schewe verfasserin aut Christian Putensen verfasserin aut Christian Bode verfasserin aut In BMC Anesthesiology BMC, 2003 20(2020), 1, Seite 3 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:20 year:2020 number:1 pages:3 https://doi.org/10.1186/s12871-020-01101-y kostenfrei https://doaj.org/article/29c4b2807d484fd0956cb6544dec6560 kostenfrei http://link.springer.com/article/10.1186/s12871-020-01101-y kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 3
allfieldsSound	10.1186/s12871-020-01101-y doi (DE-627)DOAJ076186334 (DE-599)DOAJ29c4b2807d484fd0956cb6544dec6560 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Nils Theuerkauf verfasserin aut Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedly harmless option to reduce body weight for the growing number of obese people. We present a case of a young patient who developed a direct ARDS due to initially undiagnosed abdominal pathologies caused by an IGB therapy. Case presentation A 23-year old woman was admitted because of a direct ARDS for extracorporeal membrane oxygenation (ECMO) therapy. Weeks before, an IGB has been removed because of abdominal pain and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation was endoscopically clipped and the ARDS was successfully treated under ECMO therapy. Conclusion This case illustrates that a patient presenting with direct ARDS may have upper abdominal pathologies caused by a rare complication of a supposedly harmless treatment. Chest imaging Pneumonia ARDS Obesity treatment Abscess Extracorporeal membrane oxygenation Anesthesiology Tobias Weismüller verfasserin aut Carsten Weißbrich verfasserin aut Jens-Christian Schewe verfasserin aut Christian Putensen verfasserin aut Christian Bode verfasserin aut In BMC Anesthesiology BMC, 2003 20(2020), 1, Seite 3 (DE-627)355422115 (DE-600)2091252-3 14712253 nnns volume:20 year:2020 number:1 pages:3 https://doi.org/10.1186/s12871-020-01101-y kostenfrei https://doaj.org/article/29c4b2807d484fd0956cb6544dec6560 kostenfrei http://link.springer.com/article/10.1186/s12871-020-01101-y kostenfrei https://doaj.org/toc/1471-2253 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 1 3
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callnumber-first	R - Medicine
author	Nils Theuerkauf
spellingShingle	Nils Theuerkauf misc RD78.3-87.3 misc Chest imaging misc Pneumonia misc ARDS misc Obesity treatment misc Abscess misc Extracorporeal membrane oxygenation misc Anesthesiology Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report
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topic_title	RD78.3-87.3 Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report Chest imaging Pneumonia ARDS Obesity treatment Abscess Extracorporeal membrane oxygenation
topic	misc RD78.3-87.3 misc Chest imaging misc Pneumonia misc ARDS misc Obesity treatment misc Abscess misc Extracorporeal membrane oxygenation misc Anesthesiology
topic_unstemmed	misc RD78.3-87.3 misc Chest imaging misc Pneumonia misc ARDS misc Obesity treatment misc Abscess misc Extracorporeal membrane oxygenation misc Anesthesiology
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title	Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report
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title_full	Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report
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title_sort	direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report
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title_auth	Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report
abstract	Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedly harmless option to reduce body weight for the growing number of obese people. We present a case of a young patient who developed a direct ARDS due to initially undiagnosed abdominal pathologies caused by an IGB therapy. Case presentation A 23-year old woman was admitted because of a direct ARDS for extracorporeal membrane oxygenation (ECMO) therapy. Weeks before, an IGB has been removed because of abdominal pain and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation was endoscopically clipped and the ARDS was successfully treated under ECMO therapy. Conclusion This case illustrates that a patient presenting with direct ARDS may have upper abdominal pathologies caused by a rare complication of a supposedly harmless treatment.
abstractGer	Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedly harmless option to reduce body weight for the growing number of obese people. We present a case of a young patient who developed a direct ARDS due to initially undiagnosed abdominal pathologies caused by an IGB therapy. Case presentation A 23-year old woman was admitted because of a direct ARDS for extracorporeal membrane oxygenation (ECMO) therapy. Weeks before, an IGB has been removed because of abdominal pain and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation was endoscopically clipped and the ARDS was successfully treated under ECMO therapy. Conclusion This case illustrates that a patient presenting with direct ARDS may have upper abdominal pathologies caused by a rare complication of a supposedly harmless treatment.
abstract_unstemmed	Abstract Background Acute respiratory distress syndrome (ARDS) is a life-threatening condition and the identification of the underlying direct (pulmonary) or indirect (non-pulmonary) cause is mandatory for a successful treatment. Intragastric balloon (IGB) therapy is a minimal invasive and supposedly harmless option to reduce body weight for the growing number of obese people. We present a case of a young patient who developed a direct ARDS due to initially undiagnosed abdominal pathologies caused by an IGB therapy. Case presentation A 23-year old woman was admitted because of a direct ARDS for extracorporeal membrane oxygenation (ECMO) therapy. Weeks before, an IGB has been removed because of abdominal pain and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation was endoscopically clipped and the ARDS was successfully treated under ECMO therapy. Conclusion This case illustrates that a patient presenting with direct ARDS may have upper abdominal pathologies caused by a rare complication of a supposedly harmless treatment.
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title_short	Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report
url	https://doi.org/10.1186/s12871-020-01101-y https://doaj.org/article/29c4b2807d484fd0956cb6544dec6560 http://link.springer.com/article/10.1186/s12871-020-01101-y https://doaj.org/toc/1471-2253
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up_date	2024-07-03T19:04:56.497Z
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Direct acute respiratory distress syndrome after gastric perforation caused by an intragastric balloon: a case report

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