Intraoperative Pneumothorax Presenting as Abdominal Distention
Stephen Su Yang1, Kenneth Kardash1, Christian Sirois2
1Department of Anesthesia, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
The Annals of Thoracic Surgery
|December 24, 2015
Summary
A patient undergoing lung cancer surgery developed unexpected abdominal distension and decreased tidal volume. Prompt decompression of a massive pneumothorax and pneumoperitoneum allowed the surgery to proceed successfully without complications.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Diagnostic Imaging
Background:
- A 74-year-old male with a history of lung cancer was scheduled for a right upper lobectomy.
- During anesthesia induction, progressive abdominal distension and decreased tidal volume were observed.
- Initial lung ultrasonography did not reveal pneumothorax.
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