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Sudden collapse in a pregnant woman, with the male companion perhaps reluctant to give a history
    Differential Diagnosis[Top] [Nav]
air embolism resulting from orogenital sex
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • "Waterwheel" sound (bruit de moulin) can also be heard in cases of esophagopericardial fistula. [103]
  • Observing air in the retinal vessels on funduscopic examination confirms the presence of cerebral air embolism. [105]
  • Editorial accompanying article on the apparent success of delayed (30 hours) hyperbaric therapy of cerebral air embolism. [106]
    Footnotes in Print Edition[Top] [Nav]
    (1) Orogenital sex as a cause of nonfatal air embolism in pregnancy.
  Bray P, Myers RA, et al.   Obstet Gynecol 1983 May;61(5):653-7.  Pubmed+Abstract  Similars
    (2) Antepartum air embolism.
  Ragan WD.   J Indiana State Med Assoc 1981 Jan;74(1):30-2.  Pubmed  Similars
    New References[Top] [Nav]

Air embolism in pregnancy
    101.Hyperbaric oxygen treatment of cerebral air embolism from orogenital sex during pregnancy.
  Bernhardt TL, Goldmann RW, et al.   Crit Care Med 1988 Jul;16(7):729-30.  Pubmed  Similars
    102.Selected neurologic complications of pregnancy.
  Fox MW, Harms RW, et al.   Mayo Clin Proc 1990 Dec;65(12):1595-618.  Pubmed+Abstract  Similars

Air in the heart
    103.Pyopneumopericardium attributed to an esophagopericardial fistula: report of a survivor and review of the literature [see comments].
  Miller WL, Osborn MJ, et al.   Mayo Clin Proc 1991 Oct;66(10):1041-5.  Pubmed+Abstract  Similars
    104.Images in clinical medicine: CT scan demonstrating air in the right ventricle.
  Oriscello RG, Robertello ME.   N Engl J Med. 1993;328:855.

More on air
    105.Initial treatment of patients with extensive trauma [see comments].
  Trunkey D.   N Engl J Med 1991 May 2;324(18):1259-63.  Pubmed  Similars
    106.Hyperbaric oxygen treatment for cerebral air embolism--where are the data? [editorial; comment] [see comments].
  Layon AJ.   Mayo Clin Proc 1991 Jun;66(6):641-6.  Pubmed  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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