Pneumothorax masked by subcutaneous emphysema after laparoscopic nephrectomy

Jeffrey A. Stern, Robert B. Nadler*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

An 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.

Original languageEnglish (US)
Pages (from-to)457-458
Number of pages2
JournalJournal of Endourology
Volume18
Issue number5
DOIs
StatePublished - Jun 1 2004

ASJC Scopus subject areas

  • Urology

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