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Case report


Mesenteric air embolism following enteroscopic small bowel tattooing procedure

Natalie ChenRamit LambaJohn LeeChandana Lall
Department of Radiology, University of California, Irvine, 333 City Blvd. West Suite #1405, Orange Ca 92868, University of California, Davis, Lawrence J. Ellison Ambulatory Care Center 4860 Y St., Suite 3100, Sacramento, USA
Date of Submission: 28-Aug-2012, Date of Acceptance: 29-Nov-2012, Date of Web Publication: 31-Dec-2012.
Corresponding Author:
Corresponding Author

Chandana (Sandy) Lall

Department of Radiology, University of California, Irvine, 333 City Blvd. West Suite #1405, Orange CA 92868 USA
E-mail: Clall@uci.edu

Corresponding Author:
Corresponding Author

Chandana (Sandy) Lall

Department of Radiology, University of California, Irvine, 333 City Blvd. West Suite #1405, Orange CA 92868 USA
E-mail: Clall@uci.edu

DOI: 10.4103/2156-7514.105270 Facebook Twitter Google Linkedin

ABSTRACT


Double balloon enteroscopy (DBE) is a revolutionary procedure in which the entire small bowel can be visualized endoscopically. DBE has the advantage of both diagnostic and therapeutic capabilities in the setting of small bowel neoplasms and vascular malformations. We present a unique case of a 76-year-old female who underwent small bowel DBE tattoo marking of a distal small bowel tumor complicated by development of severe abdominal pain postprocedure secondary to bowel air embolism into the mesenteric veins. Mesenteric air can be seen after other endoscopic procedures such as biopsy, mucosal clip placement and polypectomy, or following a colonoscopy. Mesenteric air embolism following small bowel tattooing procedure has not been previously reported in the literature. Mesenteric air when present may be attributed to mesenteric ischemia and can subject the patient to unnecessary surgical intervention if misdiagnosed. Thus, this report holds significance for the radiologist as computed tomography (CT) findings of mesenteric air embolism must be evaluated in the context of appropriate clinical history before treatment decisions are made.
Keywords: CT Air Embolism, Mesenteric Air Embolism, Small Bowel Tattoo

Cited in 2 Documents

  1. Akihiro Araki, Kiichiro Tsuchiya and Mamoru Watanabe (2014) Advances in balloon endoscopes. Clin J Gastroenterol 7(3):189. doi: 10.1007/s12328-014-0485-3
  2. R. Nolen-Walston (2014) Venous air embolism during cystoscopy in standing horses. Equine Veterinary Education 26(3):138. doi: 10.1111/eve.12146

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