RESUMEN
Even though there are few complications with endoscopic surgery, some are life threatening. Pneumothorax is among these complications. Timely recognition and rapid diagnosis is essential. This is a case of a routine laparoscopy that was complicated by bilateral pneumothorax, and its diagnosis and treatment.
Asunto(s)
Laparoscopía/efectos adversos , Neumotórax/etiología , Adulto , Tubos Torácicos , Enfermedades de las Trompas Uterinas/diagnóstico , Enfermedades de las Trompas Uterinas/cirugía , Femenino , Estudios de Seguimiento , Humanos , Enfermedades del Ovario/diagnóstico , Enfermedades del Ovario/cirugía , Dolor Pélvico/diagnóstico , Dolor Pélvico/cirugía , Neumotórax/diagnóstico , Neumotórax/terapia , Toracostomía , Adherencias Tisulares/diagnóstico , Adherencias Tisulares/cirugíaRESUMEN
Our first year of experience in the use of PET scanning in the management of nine patients with ovarian cancer leads us to conclude that this promising new technique may be more sensitive than either serum CA-125 determinations or computed tomography for the detection and demonstration of residual or recurrent abdominal and pelvic tumor. Seven of these patients underwent second-look laparotomy which confirmed our impressions from preoperative PET scans in six patients, and the one other scan showed a focus of metabolic uptake coinciding with residual tumor in our retrospective review. The clinical courses of two other patients who did not undergo laparotomy confirmed the impressions gained from PET scans.
