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Delayed-Onset Bilateral Vocal Cord Paralysis After Abdominal Surgery: A Case Report
Masakazu Kotoda1, Takeshi Oguchi1, Ayasa Takamino1
1From the Department of Anesthesiology, Faculty of Medicine and.
A&A Practice
|January 3, 2018
Summary
Bilateral vocal cord paralysis (VCP) can occur days after abdominal surgery, especially in older males with comorbidities. Subtle voice changes, not hoarseness, may signal early VCP.
Area of Science:
- Medical Case Reports
- Surgical Complications
- Pulmonology
Background:
- Post-abdominal surgery complications can be diverse.
- Bilateral vocal cord paralysis (VCP) is a rare but serious respiratory complication.
- Risk factors for VCP include age, comorbidities, and surgical site.
Purpose of the Study:
- To report a case of delayed-onset bilateral VCP after abdominal surgery.
- To highlight the importance of recognizing subtle symptoms of VCP.
- To emphasize VCP as a potential complication in at-risk surgical patients.
Main Methods:
- A case report of a 62-year-old male patient.
- Description of sudden severe dyspnea post-abdominal surgery.
- Intervention with emergent tracheostomy.
Main Results:
- The patient developed severe dyspnea due to bilateral VCP 4 days post-surgery.
- Emergent tracheostomy provided immediate respiratory improvement.
- Hypertension, diabetes, older age, male sex, and upper abdominal surgery were identified risk factors.
Conclusions:
- Bilateral VCP can manifest days after abdominal surgery in patients with risk factors.
- Phonetic changes, not just hoarseness, can indicate early bilateral VCP.
- VCP should be considered in post-abdominal surgery patients with respiratory distress, even with subtle symptoms.
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