Iatrogenic massive pneumothorax after preoperative progressive pneumoperitoneum

Capitán del Río, Inés; Salas Álvarez, Jesús María; Lledó Izquierdo, Isabel; Amaya Cortijo, Antonio

doi:10.1016/j.cireng.2024.04.015

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"Image of the month" "titulo" => "Iatrogenic massive pneumothorax after preoperative progressive pneumoperitoneum" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Inés Capitán del Río, Jesús María Salas Álvarez, Isabel Lledó Izquierdo, Antonio Amaya Cortijo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Inés" "apellidos" => "Capitán del Río" "email" => array:1 [ 0 => "ines_ml@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Jesús María" "apellidos" => "Salas Álvarez" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Lledó Izquierdo" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Amaya Cortijo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía General y del Aparato Digestivo, Hospital San Juan de Dios del Aljarafe, Sevilla, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax iatrogénico masivo tras neumoperitoneo progresivo preoperatorio" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 418 "Ancho" => 949 "Tamanyo" => 56172 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "A 78-year-old woman with a BMI of 30.5 and a history of cholecystectomy through a right subcostal incision 42 years previously and umbilical hernioplasty 4 years ago. She currently has an M2-3-4W2R1 eventration (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and a Tanaka index of 28% and is a candidate for preoperative pneumoperitoneum. After 72 hours of daily insufflation of 1 litre, the patient began with dyspnoea and underwent an abdomen-chest X-ray, showing massive right pneumothorax (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), requiring chest drainage and hospital admission. The patient progressed favourably and was discharged on the 6th day.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>Close follow-up, maintaining a high degree of suspicion is important to identify and treat complications early. In most cases, these do not make it impossible to complete the surgery successfully. However, in our case, it did prevent us from continuing with the anticipated preoperative plan and caused us to definitively reject surgery." 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Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The articles published in Cirugía Española can be found summarised and indexed in Science Citation Index Expanded, Journal Citation Reports, Index Medicus/MEDLINE, Scopus, EMCare, Scirus, IBECS and IME.

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