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Year : 2020  |  Volume : 23  |  Issue : 1  |  Page : 120-122

Sevoflurane induced diffuse alveolar haemorrhage in a young patient after orthopedic surgery: A case report

1 Kartal Dr. Lütfi Kırdar Training and Research Hospital, Orthopedics and Traumatology Clinic, İstanbul, Turkey
2 Orthopedics and Traumatology Clinic, Muş State Hospital, Muş, Turkey
3 Anesthesiology and Reanimation Clinic, Muş State Hospital, Muş, Turkey
4 Department of Chest Diseases, Dicle University, Faculty of Medicine, Diyarbakır, Turkey

Correspondence Address:
Dr. O Cengiz
Kartal Dr. Lutfi K.rdar Training and Research Hospital, Orthopedics and Traumatology Clinic, .stanbul
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njcp.njcp_51_19

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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.

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