Open AccessPneumoperitoneum after transoral endoscopic thyroidectomy vestibular approach
Author(s) -
Kwek James Wei Ming,
Pang Maria Judith,
Heah Harold H. W.
Publication year - 2020
Publication title -
laryngoscope investigative otolaryngology
Language(s) - English
Resource type - Journals
ISSN - 2378-8038
DOI - 10.1002/lio2.393
Subject(s) - pneumoperitoneum , vestibular system , medicine , thyroidectomy , endoscopy , surgery , thyroid , audiology , laparoscopy
Background Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a relatively safe procedure with comparable safety profile as open thyroidectomy. While gas insufflation complications such as subcutaneous emphysema and pneumomediastinum have been reported postoperatively, there have been no reports of pneumoperitoneum. Case report Our patient underwent an uneventful TOETVA to remove her left thyroid lobe. Postoperatively, she developed subcutaneous emphysema, pneumomediastinum, and pneumoperitoneum, which were confirmed on CT scan. She was managed conservatively and recovered uneventfully. Conclusion The authors report the first case of pneumoperitoneum following TOETVA. Surgeons performing TOETVA should be aware of pneumoperitoneum as a possible complication of this procedure after excluding other possible causes.