Pseudo-subarachnoid hemorrhage sign associated with severe cerebral edema

Abstract

Background: A 34-year-old caucasian male underwent laparoscopic gastric bypass. The procedure was complicated by leakage and secondary peritonitis with subsequent shock and diffuse intravascular coagulation. He underwent re-intervention with splenectomy, subtotal colectomy and resection of the distal ileum. Moreover, he developed acute kidney failure necessitating hemodialysis. A few hours after the dialysis, the patient developed bilateral non light-responding mydriasis. A CT scan of the brain was performed.

Keywords

• Brain
• edema