Hypotension due to compression of the inferior vena cava by intrathoracic herniation of peritoneal fat during laparoscopic surgery: A case report
Anesthesia and Pain Medicine
;
: 72-76, 2018.
Article
in English
| WPRIM
| ID: wpr-739427
ABSTRACT
Vena cava syndrome is caused by central venous obstruction and can be divided into superior vena cava syndrome and inferior vena cava (IVC) syndrome. Symptoms and signs of IVC syndrome vary from no symptoms to lower limb edema, hypotension, and typical venous stasis changes of the lower extremities, such as brownish discoloration of the skin, woody edema, and ulceration. Carbon dioxide pneumoperitoneum, lithotomy-Trendelenburg position, and abdominal obesity could increase intra-abdominal pressure. We report a patient undergoing laparoscopic surgery who showed intrathoracic herniation of peritoneal fat induced by elevated intra-abdominal pressure due to the reasons mentioned above, resulting in IVC syndrome and hypotension perioperatively. The patient was treated with a conservative approach because he was asymptomatic except for hypotension on the first postoperative day.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumoperitoneum
/
Skin
/
Ulcer
/
Vena Cava, Inferior
/
Superior Vena Cava Syndrome
/
Carbon Dioxide
/
Laparoscopy
/
Lower Extremity
/
Edema
/
Obesity, Abdominal
Limits:
Humans
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2018
Type:
Article
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