Pneumothorax masked by subcutaneous emphysema after laparoscopic nephrectomy

Jeffrey A. Stern; Robert B. Nadler

doi:10.1089/0892779041271599

Pneumothorax masked by subcutaneous emphysema after laparoscopic nephrectomy

Jeffrey A. Stern, Robert B. Nadler^*

^*Corresponding author for this work

Urology

Research output: Contribution to journal › Article › peer-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 language	English (US)
Pages (from-to)	457-458
Number of pages	2
Journal	Journal of Endourology
Volume	18
Issue number	5
DOIs	https://doi.org/10.1089/0892779041271599
State	Published - Jun 1 2004

ASJC Scopus subject areas

Urology

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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.",

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