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Updated: Jul 20, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Spontaneous pneumothorax after shoulder arthroscopy under general anesthesia: a case report
Chang Mook Lim1, Seok Jin Lee1, Hyo June Kim2
1Department of Anesthesiology and Pain Medicine, Daejeon Eulji University Medical Center, Eulji University School of Medicine, Daejeon, Korea.
Abstract:
A woman in her early 70s presented with a right fifth rib fracture along with left scapular body and glenoid fractures resulting from a traffic accident. She had no history of lung disease. The patient underwent multi-incisional video-guided arthroscopic fracture reduction and screw fixation in the right lateral decubitus position under general anesthesia, and surgery was followed by chest tube insertion. Left-sided pneumothorax was found during routine postoperative radiography despite the absence of relevant symptoms or signs such as hypoxia, chest pain, or respiratory difficulty. We herein report this unusual case with a brief literature review.
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