Carbon dioxide pneumothorax occurring during laparoscopy-assisted gastrectomy due to a congenital diaphragmatic defect: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 88-92, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-64784
ABSTRACT
During laparoscopic surgery, carbon dioxide (CO2) pneumothorax can develop due to a congenital defect in the diaphragm. We present a case of a spontaneous massive left-sided pneumothorax that occurred during laparoscopy-assisted gastrectomy, because of an escape of intraperitoneal CO2 gas, under pressure, into the pleural cavity through a congenital defect in the esophageal hiatus of the left diaphragm. This was confirmed on intraoperative chest radiography and laparoscopic inspection. This CO2 pneumothorax caused tolerable hemodynamic and respiratory consequences, and was rapidly reversible after release of the pneumoperitoneum. Thus, a conservative approach was adopted, and the remainder of the surgery was completed, laparoscopically. Due to the high solubility of CO2 gas and the extra-pulmonary mechanism, CO2 pneumothorax with otherwise hemodynamically stable conditions can be managed by conservative modalities, avoiding unnecessary chest tube insertion or conversion to an open procedure.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumoperitoneo
/
Neumotórax
/
Solubilidad
/
Anomalías Congénitas
/
Tórax
/
Naciones Unidas
/
Diafragma
/
Carbono
/
Dióxido de Carbono
/
Radiografía
Tipo de estudio:
Estudio diagnóstico
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2016
Tipo del documento:
Artículo
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