Massive subcutaneous emphysema after thoracoscopic argon beamer use for pleurodesis.

Argon beamer coagulation (ABC) has been effectively used in a wide variety of thoracoscopic and laparoscopic procedures. However, stringent safety measures have to be taken to prevent potentially severe complications due to overpressurization. Here we report a case of thoracoscopic pleurodesis with talcum powder during which the use of an argon beamer led to severe subcutaneous emphysema involving the trunk, upper extremities, neck, and face. Literature on complications secondary to the use of ABC in closed body cavities is reviewed.