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Pneumomediastinum as a complication of robotic-assisted radical nephrectomy: A case report
Ahmed Nafie1, Ayman Agag1, Abhishek Reekhaye1
1Department of Urology, Frimley Park Hospital, Camberley, Surrey GU167 UJ, United Kingdom.
Background:
Pneumomediastinum represents a rare but potentially serious complication of robotic-assisted radical nephrectomy, often resulting from carbon dioxide insufflation during retroperitoneal surgery.
Case Presentation:
Reported here is a case of a 78-year-old female who underwent an uneventful robotic-assisted radical nephrectomy for a right renal mass but presented 5 days postoperatively with shortness of breath and chest discomfort. Imaging confirmed extensive pneumomediastinum without esophageal perforation. She was managed conservatively with oxygen therapy, pain control, and a soft diet, leading to full recovery.
Conclusion:
Awareness of risk factors, such as a low body mass index, prolonged operative time, and extensive retroperitoneal dissection, is essential for early recognition and management of this rare complication.
