• Rev Esp Anestesiol Reanim · Jun 1997

    Case Reports

    [Subcutaneous, pneumomediastinal, pneumopericardial emphysema and pneumothorax following retrosigmoid resection].

    • S de Frutos-López, J Muñoz-García, M Ruiz-Castro, A Vidal-Marcos, and M A Palma-Gámiz.
    • Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid.
    • Rev Esp Anestesiol Reanim. 1997 Jun 1; 44 (6): 244-6.

    AbstractPulmonary alveolar rupture can occur spontaneously or as a result of mechanical ventilation or other causes, and may give rise to bullae or emphysema without producing extrapulmonary air. Most but not all cases occur in patients with underlying lung disease. We describe a patient with no history of lung disease who underwent anterior sigmoid resection under combined (general/epidural) anesthesia. Soon after the patient awoke from anesthesia, subcutaneous, pneumomediastinal and pneumopericardiac emphysema developed, along with bilateral pneumothorax. We discuss the possible causes of extra-alveolar air was well as ways to detect and treat it.

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