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Niger J Clin Pract ; 23(1): 120-122, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31929218

ABSTRACT

We present a very rare case of Sevoflurane Induced Diffuse Alveolar Haemorrhage in a young male patient with a closed tibial fracture after direct trauma to the right cruris. The patient was operated for tibial fracture, but diffuse alveolar haemorrhage developed after sevoflurane inhalation in the postoperative period following general anesthesia. Diffuse alveolar haemorrhage (DAH) is associated with inhalation injury from halogenated gases and reported as a unique entity in the literature that practicing clinicians should be aware of and consider in post-operative cases of acute respiratory distress. As DAH usually presents with symptoms the presence of hemoptysis, anemia, dyspnoea and radiological alveolar infiltrates, rapid detection of the aetiology and initiation of cause-directed treatment are of great importance on survival.


Subject(s)
Anesthetics, Inhalation/adverse effects , Hemoptysis/chemically induced , Hemorrhage/chemically induced , Orthopedic Procedures/adverse effects , Postoperative Complications/chemically induced , Pulmonary Alveoli/diagnostic imaging , Sevoflurane/pharmacology , Tibial Fractures/surgery , Adult , Anesthesia, General , Bronchoscopy , Hemoptysis/therapy , Humans , Male , Postoperative Complications/therapy , Postoperative Period , Pulmonary Alveoli/pathology , Tomography Scanners, X-Ray Computed , Treatment Outcome
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