Laparoscopy-Pneumothorax and Ocular Emphysema, A Rare Complication-A Case Report
Published: April 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4300
Suresh Y.V., Anupama Suresh Y., Trevor Francis Sequeira
1. Associate Professor, Department of Anaesthesiology, Kasturba Medical College, Mangalore, India.
2. Associate Professor, Department of Obstetrics and Gynecology, Kasturba Medical College, Mangalore, India.
3. Assistant Professor, Department of Anaesthesiology, Kasturba Medical College, Mangalore, India.
Correspondence Address :
Dr. Suresh Y.V.,
Flat No.203, Divya Enclave, M.G. Road, Kodialbail, Mangalore-570 003, Karanataka, India.
Phone: 9845085108, E-mail: drsureshyv@hotmail.com
Abstract
Occurrence of Pneumomediastinum, pneumothorax, and ocular emphysema is very rare, but developed under General Anaesthesia (GA) immediately after insufflation. 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.
Keywords
Laparoscopy, Pneumothorax, Ocular emphysema