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American Journal of Medical Case Reports. 2021, 9(8), 428-431
DOI: 10.12691/AJMCR-9-8-11
Case Report

Control of Extensive Subcutaneous Emphysema by Balloon Trocar – A Case Report

Yi Zou1, Lai Wei1, Yanan Tang2 and Gaoyin Kong1,

1Department of Anesthesiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Clinical Research Center for Anesthesiology of ERAS in Hunan Province, Changsha, China.

2Department of Anesthesiology, The Second Affiliated Hospital of University of South China, Hengyang, China

Pub. Date: May 10, 2021
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Cite this paper

Yi Zou, Lai Wei, Yanan Tang and Gaoyin Kong. Control of Extensive Subcutaneous Emphysema by Balloon Trocar – A Case Report. American Journal of Medical Case Reports. 2021; 9(8):428-431. doi: 10.12691/AJMCR-9-8-11

Abstract

Subcutaneous emphysema (SE) is not an uncommon complication in laparoscopic surgery, it may cause severe hypercapnia and acidosis. The trocar related SE is usually caused by multiple attempts at the abdominal entry and leakage of gas into the subcutaneous tissue, this kind of SE usually causes refractory hypercapnia and may induce severe complications. However, Intraoperative treatment for this kind of SE is still limited. Here we present a case of refractory hypercapnia caused by trocar related SE, after failed attempts of hyperventilation and decreasing intra-abdominal pressure, the SE and hypercapnia were finally controlled by using a balloon trocar.

Keywords

subcutaneous emphysema, balloon trocar, laparoscopy

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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