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Early Pneumopericardium after Endoscopic Thoracic Sympathectomy
1Department of Anesthesiology and Reanimation, Okmeydani Education and Research Hospital, Sisli, Istanbul, Turkey.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 10, 2020
Summary
Pneumopericardium, a rare complication, can occur after endoscopic thoracic sympathectomy for palmar hyperhidrosis. Early recognition and management are crucial for this potentially fatal condition.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Complications
Background:
- Palmar hyperhidrosis is a common condition treated with endoscopic thoracic sympathectomy (ETS).
- Single port endoscopic thoracic sympathectomy (SPETS) is a minimally invasive technique for ETS.
- Pneumopericardium, air in the pericardial sac, is a rare but serious complication.
Observation:
- A case of pneumopericardium following SPETS is presented.
- A 25-year-old male developed pneumopericardium post-SPETS for palmar hyperhidrosis.
- Diagnosis was made via chest X-ray showing subcutaneous emphysema; the patient was asymptomatic.
Findings:
- This is the first reported case of pneumopericardium after SPETS.
- Pneumopericardium can be a silent, asymptomatic finding post-SPETS.
- The complication, though rare, is potentially life-threatening.
Implications:
- Pneumopericardium must be considered in the differential diagnosis of patients undergoing SPETS.
- Routine postoperative monitoring protocols are essential for early detection and management.
- Timely intervention is critical to prevent fatal outcomes from this SPETS complication.
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