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[Acute adult respiratory distress syndrome after lymphography]. / Syndrome de détresse respiratoire aiguë de l'adulte après lymphographie.
Ann Fr Anesth Reanim ; 4(1): 79-81, 1985.
Article en Fr | MEDLINE | ID: mdl-2984965
Pulmonary complications of lymphography are usually described as radiological infiltrates without clinical symptoms. However, a case is here reported of an adult respiratory distress syndrome occurring after lymphography in a 60 year old female lymphoma patient. Pulmonary oedema developed within 48 h; haemodynamic study showed a normal capillary wedge pressure. The patient died from intractable low cardiac output within 24 h. Post-mortem examination showed pulmonary lymphocytic infiltration and multiple fat emboli. The lack of lymphatic drainage was probably responsible for the intravascular passage of lipid-soluble contrast medium, this giving endothelial lesions. In such patients with preexisting lung disease or pulmonary involvement in haematological disease, lymphography has to be considered carefully.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Linfografía Límite: Female / Humans / Middle aged Idioma: Fr Revista: Ann Fr Anesth Reanim Año: 1985 Tipo del documento: Article Pais de publicación: Francia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Linfografía Límite: Female / Humans / Middle aged Idioma: Fr Revista: Ann Fr Anesth Reanim Año: 1985 Tipo del documento: Article Pais de publicación: Francia