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[Intestinal gas explosion during operation: a case report].

G Bouhours·B Tesson·S De Bourmont·G Lorimier·J-C Granry
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Abstract

A case of intestinal gas explosion during the course of carcinologic surgery in a 51-year-old patient is reported. This accident, often dramatic, has become exceptional since the use of mannitol for colonic preparation has disappeared. This incident occurred during the course of a total pelvic exenteration performed under general anaesthesia with inhalation of both a mixture oxygen-nitrous oxide and volatile agents. The colon incision with an electrocautery was contemporaneous with a violent deflagration accountable for organic lesions. This case report reminds us that the risk of a dangerous explosion persists in relation with surgical, anaesthetic and individual risk factors.

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AdenocarcinomaAnesthesia, InhalationAnesthetics, InhalationColorectal NeoplasmsDiuretics, OsmoticElectrocoagulationExplosionsHumansMaleMannitolMiddle AgedNitrous OxideOxygenPelvic ExenterationCase ReportsEnglish AbstractJournal Article

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G Bouhours, B Tesson, S De Bourmont, G Lorimier, J-C Granry. 2003. [Intestinal gas explosion during operation: a case report].. https://doi.org/10.1016/s0750-7658(03)00062-5

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