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Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report

Laser enucleation and morcellation of the prostate is an increasingly used surgical management of benign prostatic hyperplasia. However, it can cause several complications including capsular perforation, ureteral orifice injury, and bladder mucosal morcellation injury. Herein, we report a case of se...

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Autores principales: Kim, Sung-Hoon, Son, Hyo-Jung, Kim, Jae-Won, Kong, Yu-Gyeong, Hwang, Jai-Hyun, Kim, Young-Kug
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823417/
https://www.ncbi.nlm.nih.gov/pubmed/27066210
http://dx.doi.org/10.4097/kjae.2016.69.2.185
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author Kim, Sung-Hoon
Son, Hyo-Jung
Kim, Jae-Won
Kong, Yu-Gyeong
Hwang, Jai-Hyun
Kim, Young-Kug
author_facet Kim, Sung-Hoon
Son, Hyo-Jung
Kim, Jae-Won
Kong, Yu-Gyeong
Hwang, Jai-Hyun
Kim, Young-Kug
author_sort Kim, Sung-Hoon
collection PubMed
description Laser enucleation and morcellation of the prostate is an increasingly used surgical management of benign prostatic hyperplasia. However, it can cause several complications including capsular perforation, ureteral orifice injury, and bladder mucosal morcellation injury. Herein, we report a case of severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser surgery of the prostate. The patient experienced massive abdominal distension and severe respiratory difficulty after the procedure. Although immediate postoperative cystogram showed no leakage of contrast dye, the computed tomography scan of the abdomen and pelvis showed massive fluid collection in the abdominal pelvic cavity suggesting bladder wall injury. After percutaneous drainage of intraperitoneal fluid, abdominal distention and dyspnea were relieved.
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spelling pubmed-48234172016-04-10 Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report Kim, Sung-Hoon Son, Hyo-Jung Kim, Jae-Won Kong, Yu-Gyeong Hwang, Jai-Hyun Kim, Young-Kug Korean J Anesthesiol Case Report Laser enucleation and morcellation of the prostate is an increasingly used surgical management of benign prostatic hyperplasia. However, it can cause several complications including capsular perforation, ureteral orifice injury, and bladder mucosal morcellation injury. Herein, we report a case of severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser surgery of the prostate. The patient experienced massive abdominal distension and severe respiratory difficulty after the procedure. Although immediate postoperative cystogram showed no leakage of contrast dye, the computed tomography scan of the abdomen and pelvis showed massive fluid collection in the abdominal pelvic cavity suggesting bladder wall injury. After percutaneous drainage of intraperitoneal fluid, abdominal distention and dyspnea were relieved. The Korean Society of Anesthesiologists 2016-04 2016-03-30 /pmc/articles/PMC4823417/ /pubmed/27066210 http://dx.doi.org/10.4097/kjae.2016.69.2.185 Text en Copyright © the Korean Society of Anesthesiologists, 2016 http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Sung-Hoon
Son, Hyo-Jung
Kim, Jae-Won
Kong, Yu-Gyeong
Hwang, Jai-Hyun
Kim, Young-Kug
Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
title Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
title_full Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
title_fullStr Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
title_full_unstemmed Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
title_short Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
title_sort severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823417/
https://www.ncbi.nlm.nih.gov/pubmed/27066210
http://dx.doi.org/10.4097/kjae.2016.69.2.185
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