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Unilateral diaphragmatic paralysis after laparoscopic cholecystectomy
E Díez Castillo1, S Telletxea Benguria1, K Intxaurraga Fernández1
1Servicio de Anestesiología y Reanimación y Terapéutica del Dolor, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, España.
Revista Espanola De Anestesiologia Y Reanimacion
|March 14, 2019
Summary
Laparoscopic cholecystectomy, a common gallbladder surgery, can rarely lead to diaphragm paralysis. This case highlights a potential complication following the procedure for acute biliary pathology.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Surgical Complications
- Critical Care Medicine
Background:
- Laparoscopic cholecystectomy is the standard surgical approach for acute biliary tract diseases.
- While generally safe, laparoscopic procedures carry inherent risks and potential complications.
- Gangrenous cholecystitis necessitates urgent surgical intervention.
Observation:
- An 82-year-old male presented with gangrenous cholecystitis.
- The patient underwent an urgent laparoscopic cholecystectomy.
- Postoperatively, the patient experienced acute respiratory failure within 24 hours.
Findings:
- The patient required admission to the critical care unit for respiratory support.
- Diagnostic investigations revealed paralysis of the right diaphragm.
- The diaphragm paralysis was presumed to be a surgical complication.
Implications:
- This case underscores the importance of recognizing rare neurological complications after laparoscopic cholecystectomy.
- Awareness of potential diaphragm dysfunction is crucial for timely diagnosis and management in post-surgical patients.
- Further investigation into the mechanisms linking laparoscopic cholecystectomy to diaphragm paralysis may be warranted.
