Open AccessLaparoscopy-Pneumothorax and Ocular Emphysema, A Rare Complication-A Case Report
Author(s) -
Y Suresh,
Y Suresh,
Trevor Francis Sequeira
Publication year - 2014
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2014/5997.4300
Subject(s) - pneumomediastinum , medicine , pneumothorax , surgery , mediastinal emphysema , laparoscopy , complication , mediastinum , pneumoperitoneum , subcutaneous emphysema , chest tube , diaphragm (acoustics) , anesthesia , physics , acoustics , loudspeaker
Occurrence of Pneumomediastinum, pneumothorax, and ocular emphysema is very rare, but developed under General Anaesthesia (GA) immediately after insuflation. A defect in the diaphragm may be the cause. A female patient aged 21-years, with infertility was posted for diagnostic laparoscopy. The extravasation of carbon dioxide at the beginning of the diagnostic laparoscopy resulted in pneumomediastinum, pneumothorax, and ocular emphysema. It was assumed that the intraperitoneal carbon dioxide traversed into the mediastinum via a defect in the diaphragm which resolved after abdominal deflation & chest tube decompression.