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Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review

Isolated pneumomediastinum is a rare complication after laparoscopic procedures. Herein, we present a case of a 38-year-old woman who presented two days after laparoscopic cholecystectomy with pleuritic chest pain and dyspnea and was found to have isolated pneumomediastinum. The patient was admitted...

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Autores principales: Maalouf, Hani H, Aby Hadeer, Ribal, Tabbikha, Omar, Abou-Malhab, Christina, Wakim, Raja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9138895/
https://www.ncbi.nlm.nih.gov/pubmed/35651390
http://dx.doi.org/10.7759/cureus.24604
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author Maalouf, Hani H
Aby Hadeer, Ribal
Tabbikha, Omar
Abou-Malhab, Christina
Wakim, Raja
author_facet Maalouf, Hani H
Aby Hadeer, Ribal
Tabbikha, Omar
Abou-Malhab, Christina
Wakim, Raja
author_sort Maalouf, Hani H
collection PubMed
description Isolated pneumomediastinum is a rare complication after laparoscopic procedures. Herein, we present a case of a 38-year-old woman who presented two days after laparoscopic cholecystectomy with pleuritic chest pain and dyspnea and was found to have isolated pneumomediastinum. The patient was admitted for monitoring, oxygen therapy, and antibiotic prophylaxis and she was discharged on the fourth postoperative day when her symptoms resolved both subjectively and radiologically. Only two other cases of symptomatic isolated pneumomediastinum after laparoscopic cholecystectomy were reported in the literature and all of them were female patients, diagnosed radiologically, and treated conservatively. Therefore, isolated pneumomediastinum should be included in the differential diagnosis of dyspnea and chest pain after laparoscopic surgeries in order to have an early diagnosis, start early treatment, and prevent unnecessary investigations or advancement of the disease.
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spelling pubmed-91388952022-05-31 Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review Maalouf, Hani H Aby Hadeer, Ribal Tabbikha, Omar Abou-Malhab, Christina Wakim, Raja Cureus General Surgery Isolated pneumomediastinum is a rare complication after laparoscopic procedures. Herein, we present a case of a 38-year-old woman who presented two days after laparoscopic cholecystectomy with pleuritic chest pain and dyspnea and was found to have isolated pneumomediastinum. The patient was admitted for monitoring, oxygen therapy, and antibiotic prophylaxis and she was discharged on the fourth postoperative day when her symptoms resolved both subjectively and radiologically. Only two other cases of symptomatic isolated pneumomediastinum after laparoscopic cholecystectomy were reported in the literature and all of them were female patients, diagnosed radiologically, and treated conservatively. Therefore, isolated pneumomediastinum should be included in the differential diagnosis of dyspnea and chest pain after laparoscopic surgeries in order to have an early diagnosis, start early treatment, and prevent unnecessary investigations or advancement of the disease. Cureus 2022-04-29 /pmc/articles/PMC9138895/ /pubmed/35651390 http://dx.doi.org/10.7759/cureus.24604 Text en Copyright © 2022, Maalouf et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Maalouf, Hani H
Aby Hadeer, Ribal
Tabbikha, Omar
Abou-Malhab, Christina
Wakim, Raja
Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review
title Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review
title_full Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review
title_fullStr Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review
title_full_unstemmed Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review
title_short Symptomatic Pneumomediastinum Following Laparoscopic Cholecystectomy: A Case Report and a Literature Review
title_sort symptomatic pneumomediastinum following laparoscopic cholecystectomy: a case report and a literature review
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9138895/
https://www.ncbi.nlm.nih.gov/pubmed/35651390
http://dx.doi.org/10.7759/cureus.24604
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