• Journal of endourology · Jun 2004

    Case Reports

    Pneumothorax masked by subcutaneous emphysema after laparoscopic nephrectomy.

    • Jeffrey A Stern and Robert B Nadler.
    • Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611-3008, USA.
    • J. Endourol. 2004 Jun 1;18(5):457-8.

    AbstractAn 81-year-old man with an enhancing upper-pole renal mass underwent laparoscopic nephrectomy via a retroperitoneal approach. Postoperatively, his systolic blood pressure declined to 72 mm Hg, and arterial blood gas analysis suggested acute respiratory acidosis. Chest radiography suggested subcutaneous emphysema, but a CT scan showed tension pneumothorax. This case illustrates the difficulties in interpretation of chest films caused by the subcutaneous air that is routinely present after laparoscopic procedures.

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