Massive Subcutaneous Emphysema during Laparoscopic Cholecystectomy

Authors

  • ASM Moosa Lecturer, Department of Pharmacology, Rajshahi Medical College, Rajshahi.
  • M Baharul Islam Assistant Professor, Department of Surgery, Rajshahi Medical College, Rajshahi.
  • Shahina Akther Medical Officer, OPD, Rajshahi Medical College Hospital, Rajshahi.
  • M Latifur Rahman Professor, Department of Anesthesiology, Rajshahi Medical College, Rajshahi.
  • Nazim Uddin Ahmed Professor, Department of Pharmacology, Islami Bank Medical College Hospital, Rajshahi.

DOI:

https://doi.org/10.3329/taj.v21i1.3225

Keywords:

Emphysema

Abstract

Laparoscopic surgical techniques are increasingly being applied to treat cholelithiasis and other indications of gallbladder diseases. These procedures however are not without potential morbidity. Herein we describe two patients treated with laparoscopic cholecystectomy; those cases were complicated with subcutaneous emphysema and hypercarbia per-operatively. After discontinuation of pneumoperitoneum, saturation of partial pressure of oxygen (SpO2) gradually increased with improvement of the neck subcutaneous emphysema, at the same time the lung ventilation also improved. Our findings show that we have to stop pneumoperitoneum or decrease partial pressure of end carbon dioxide level immediately, when we find a sudden increase of the peak airway pressure or decrease SpO2 with subcutaneous emphysema during laparoscopic cholecystectomy.  

doi: 10.3329/taj.v21i1.3225

TAJ 2008; 21(1): 77-79

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How to Cite

Moosa, A., Islam, M. B., Akther, S., Rahman, M. L., & Ahmed, N. U. (2009). Massive Subcutaneous Emphysema during Laparoscopic Cholecystectomy. TAJ: Journal of Teachers Association, 21(1), 77–79. https://doi.org/10.3329/taj.v21i1.3225

Issue

Vol. 21 No. 1 (2008)

Section

Case Reports