Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report

BACKGROUND: Free air after laparoscopic hysterectomy is a common finding; in rare cases, free air represents gastrointestinal perforation, requiring emergency laparotomy. Ectopic air localizations after pneumoperitoneum have been reported in various laparoscopic surgical techniques. Delayed diagnosi...

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Autores principales: Melemeni, Aikaterini, Tympa Grigoriadou, Aliki, Tsaroucha, Athanasia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831263/
https://www.ncbi.nlm.nih.gov/pubmed/33487162
http://dx.doi.org/10.1186/s13256-020-02627-y
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author Melemeni, Aikaterini
Tympa Grigoriadou, Aliki
Tsaroucha, Athanasia
author_facet Melemeni, Aikaterini
Tympa Grigoriadou, Aliki
Tsaroucha, Athanasia
author_sort Melemeni, Aikaterini
collection PubMed
description BACKGROUND: Free air after laparoscopic hysterectomy is a common finding; in rare cases, free air represents gastrointestinal perforation, requiring emergency laparotomy. Ectopic air localizations after pneumoperitoneum have been reported in various laparoscopic surgical techniques. Delayed diagnosis of visceral perforation is associated with high mortality rates. CASE PRESENTATION: We present a white Caucasian female in which dysphonia due to air entrapment in the cervical area, pneumomediastinum and pneumothorax, occured afterlaparoscopic hysterectomy. CONCLUSIONS: Upon mobilization of the patient, air from sigmoid perforation moved cephalad. Through the same path, pneumoperitoneum, causes subcutaneous emphysema in the neck and face, pneumomediastinum and pneumothorax.
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spelling pubmed-78312632021-01-26 Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report Melemeni, Aikaterini Tympa Grigoriadou, Aliki Tsaroucha, Athanasia J Med Case Rep Case Report BACKGROUND: Free air after laparoscopic hysterectomy is a common finding; in rare cases, free air represents gastrointestinal perforation, requiring emergency laparotomy. Ectopic air localizations after pneumoperitoneum have been reported in various laparoscopic surgical techniques. Delayed diagnosis of visceral perforation is associated with high mortality rates. CASE PRESENTATION: We present a white Caucasian female in which dysphonia due to air entrapment in the cervical area, pneumomediastinum and pneumothorax, occured afterlaparoscopic hysterectomy. CONCLUSIONS: Upon mobilization of the patient, air from sigmoid perforation moved cephalad. Through the same path, pneumoperitoneum, causes subcutaneous emphysema in the neck and face, pneumomediastinum and pneumothorax. BioMed Central 2021-01-25 /pmc/articles/PMC7831263/ /pubmed/33487162 http://dx.doi.org/10.1186/s13256-020-02627-y Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Melemeni, Aikaterini
Tympa Grigoriadou, Aliki
Tsaroucha, Athanasia
Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
title Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
title_full Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
title_fullStr Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
title_full_unstemmed Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
title_short Free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
title_sort free air after laparoscopic hysterectomy; from sigmoid perforation to upper airway compromise: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831263/
https://www.ncbi.nlm.nih.gov/pubmed/33487162
http://dx.doi.org/10.1186/s13256-020-02627-y
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