Perforated duodenum with hemorrhage while on V-V ECMO: Diagnostic challenge

ECMO and cannula-related complications remain a concern in critical care, and may conceal serious unrelated underlying medical or surgical problems. A 22 month-old male patient was put on veno-venous ECMO for H1N1 infection using jugular and femoral cannulas. Iliac vein perforation by the cannula wa...

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Bibliographic Details
Published in:	Journal of pediatric surgery case reports Vol. 72; p. 101951
Main Authors:	Rifaii, Arwa, Osta, Ahmad, Akel, Samir, Assy, Jana, El Rassi, Issam
Format:	Journal Article Web Resource
Language:	English
Published:	Elsevier Inc 01-09-2021 Elsevier
Subjects:	Cannula Cardiovascular & respiratory systems Chirurgie Duodenum ECMO Human health sciences Pediatrics Perforation Pédiatrie Sciences de la santé humaine Surgery Systèmes cardiovasculaire & respiratoire ECMO Duodenum Perforation Cannula
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Summary:	ECMO and cannula-related complications remain a concern in critical care, and may conceal serious unrelated underlying medical or surgical problems. A 22 month-old male patient was put on veno-venous ECMO for H1N1 infection using jugular and femoral cannulas. Iliac vein perforation by the cannula was suspected following abdominal distention and fresh blood in the abdomen. Emergent laparotomy unexpectedly revealed a perforated duodenum, which was primarily repaired. This is the first reported case of a duodenal perforation in a child on ECMO. With increasing use of ECMO, more attention should be given to rare complications related to the underlying diseases.
Bibliography:	scopus-id:2-s2.0-85109215013
ISSN:	2213-5766 2213-5766
DOI:	10.1016/j.epsc.2021.101951