Aikaterini Melemeni1, Aliki Tympa Grigoriadou2, Athanasia Tsaroucha1. 1. 1st Department of Anesthesiology, Aretaieion University Hospital, National and Kapodistrian University of Athens, 76 Vasilisis Sofias Avenue, 11528, Athens, Greece. 2. 1st Department of Anesthesiology, Aretaieion University Hospital, National and Kapodistrian University of Athens, 76 Vasilisis Sofias Avenue, 11528, Athens, Greece. tympaaliki@yahoo.gr.
Abstract
BACKGROUND: Free air after laparoscopic hysterectomy is a common finding; in rare cases, free air represents gastrointestinal perforation, requiring emergency laparotomy. Ectopic air localizations after pneumoperitoneum have been reported in various laparoscopic surgical techniques. Delayed diagnosis of visceral perforation is associated with high mortality rates. CASE PRESENTATION: We present a white Caucasian female in which dysphonia due to air entrapment in the cervical area, pneumomediastinum and pneumothorax, occured afterlaparoscopic hysterectomy. CONCLUSIONS: Upon mobilization of the patient, air from sigmoid perforation moved cephalad. Through the same path, pneumoperitoneum, causes subcutaneous emphysema in the neck and face, pneumomediastinum and pneumothorax.
BACKGROUND: Free air after laparoscopic hysterectomy is a common finding; in rare cases, free air represents gastrointestinal perforation, requiring emergency laparotomy. Ectopic air localizations after pneumoperitoneum have been reported in various laparoscopic surgical techniques. Delayed diagnosis of visceral perforation is associated with high mortality rates. CASE PRESENTATION: We present a white Caucasian female in which dysphonia due to air entrapment in the cervical area, pneumomediastinum and pneumothorax, occured afterlaparoscopic hysterectomy. CONCLUSIONS: Upon mobilization of the patient, air from sigmoid perforation moved cephalad. Through the same path, pneumoperitoneum, causes subcutaneous emphysema in the neck and face, pneumomediastinum and pneumothorax.
Entities:
Keywords:
Case report; Ectopic air; Laparoscopic hysterectomy; Neck edema