Fatal air embolism during intestinal endoscopy in Kasai portoenterostomy for biliary atresia: A case report

doi:10.4253/wjge.v17.i7.105773

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World Journal of Gastrointestinal Endoscopy

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Case Report

World J Gastrointest Endosc. Jul 16, 2025; 17(7): 105773
Published online Jul 16, 2025. doi: 10.4253/wjge.v17.i7.105773

Fatal air embolism during intestinal endoscopy in Kasai portoenterostomy for biliary atresia: A case report

So Young Shin, Hee Jin Yeon, Sang On Lee, Jeong Rim Lee, Galam Leem, Seok Joo Han

So Young Shin, Seok Joo Han, Division of Pediatric Surgery, Department of Surgery, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul 03722, Seodaemun-gu, South Korea

Hee Jin Yeon, Department of Surgery, Konyang University College of Medicine, Daejeon 35365, Seo-Gu, South Korea

Sang On Lee, Department of Cardiovascular Surgery, Yonsei University College of Medicine, Seoul 03722, Seodaemun-gu, South Korea

Jeong Rim Lee, Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul 03722, Seodaemun-gu, South Korea

Galam Leem, Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, Seodaemun-gu, South Korea

Author contributions: Shin SY and Han SJ designed and performed the literature review and wrote the case report; Yeon HJ, Lee SO, Lee JR, Leem G and Han SJ were involved with the surgery and managed the patient.

Informed consent statement: The patient and her parents provided written informed consent prior to the surgery.

Conflict-of-interest statement: The authors declare no conflicts of interest related to this case report.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Seok Joo Han, MD, PhD, Professor, Division of Pediatric Surgery, Department of Surgery, Severance Children’s Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seoul 03722, Seodaemun-gu, South Korea. sjhan@yuhs.ac

Received: February 7, 2025
Revised: April 2, 2025
Accepted: June 7, 2025
Published online: July 16, 2025
Processing time: 153 Days and 1.1 Hours

Core Tip

Core Tip: Low-pressure CO₂ insufflation instead of high-pressure air insufflation is more suitable during intestinal endoscopy in patients with Kasai portoenterostomy to prevent fatal air embolism.