Pneumothorax during laparoscopic repair of giant paraesophageal hernia

Abstract

Giant paraesophageal hernia is an uncommon morbid disorder which may present a risk of catastrophic complications and should be repaired electively as soon as possible. Laparoscopic fundoplication is the mainstay of surgical management of this disorder due to several advantages such as lower post-operative morbidity and pain. We report a case of a 70-year-old patient with a giant paraesophageal hernia, who developed subcutaneous emphysema with pneumothorax during laparoscopic fundoplication. Early diagnosis was possible by close clinical evaluation and simultaneous monitoring of end-tidal carbon dioxide levels and airway pressures. Although positive end-expiratory pressure application is an effective way of managing pneumothorax secondary to the passage of gas into the interpleural space, insertion of an intercostal drain may be used in an emergent situation.

Gastrothorax: A case of mistaken identity

“…Pneumothorax or tension pneumothorax is also a recognized complication of anti-reflux surgery and occurs when there is a breach in the pleura during mobilization of the distal oesophagus from the hiatus [ [5] , [6] , [7] ]. It commonly presents during the surgery itself or in the immediate post-operative period and is treated with the placement of an ICC [ [7] , [8] ].…”

“…Pneumothorax or tension pneumothorax is also a recognized complication of anti-reflux surgery and occurs when there is a breach in the pleura during mobilization of the distal oesophagus from the hiatus [ [5] , [6] , [7] ]. It commonly presents during the surgery itself or in the immediate post-operative period and is treated with the placement of an ICC [ [7] , [8] ]. A paraoesophageal hernia mimicking a pneumothorax or tension pneumothorax in the adult is a rare phenomenon and only a few cases have been cited in the literature [ [9] , [10] , [11] , [12] , [13] ].…”