Massive Emphysema and Pneumothorax Following Shoulder Arthroscopy under General Anaesthesia: A Case Report

Document Type : CASE REPORT

Authors

1 Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran

2 Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Ghaem Hospital Medical School, Mashhad, Iran

Abstract

The patient was a 61-year-old female with massive rotator cuff tear who had no history of smoking, COPD, asthma, or other pulmonary diseases. Four hours following shoulder arthroscopy, the patient developed progressive dyspnea, which was diagnosed as pneumothorax with subcutaneous emphysema extending to the neck and face. Chest tube was inserted promptly. The patient was discharged with a good condition after 7 days. Follow up of the patient for the next 3 months was uneventful.

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Main Subjects

References

1. Ebrahimzadeh MH, Moradi A, Pour MK, Moghadam
MH, Kachooei AR. Clinical outcomes after arthroscopic
release for recalcitrant frozen shoulder. Arch Bone
Joint Surg. 2014; 2(3):220.
2. Kilinc AS, Ebrahimzadeh MH, Lafosse L. Subacromial
internal spacer for rotator cuff tendon repair:“the
balloon technique”. Arthroscopy. 2009; 25(8):921-4.
3. Ebrahimzadeh MH, Biriandineiad A, Golhasani F,
Moradi A, Vahedi E, Kachooei AR. Cross-cultural
adaptation, validation, and reliability testing of the
Shoulder Pain and Disability Index in the Persian
population with shoulder problems. Int J Rehabil Res.
2015 ;38(1):84-7.
4. Lee HC, Dewan N, Crosby L. Subcutaneous emphysema,
pneumomediastinum, and potentially life-threatening
tension pneumothorax: pulmonary complications
from arthroscopic shoulder decompression. Chest.
1992; 101(5):1265-7.
5. Lau KY. Pneumomediastinum caused by subcutaneous
emphysema in the shoulder. a rare complication of
arthroscopy. Chest. 1993; 103(2):1606-7.
6. Dietzel DP, Ciullo JV. Spontaneous pneumothorax
after shoulder arthroscopy: a report of four cases.
Arthroscopy. 1996; 12(1):99-102.
7. Calvisi V, Lupparelli S, Rossetti S. Subcutaneous
emphysema and pneumomediastinum following
shoulder arthroscopy with brachial plexus block: a
case report and review of the literature. Arch Orthop
Trauma Surg. 2009; 129(3):349-52.
8. Leander-Olsson O, Borglund-Hemph A, Jakobsson JG.
Pneumothorax following shoulder arthroscopy under
combined regional and general anaesthesia-A case
report. Int J Surg Case Rep. 2016; 24:73-6.
9. Bamps S, Renson D, Stefaan Nijs S. Pneumothorax
after shoulder arthroscopy: a rare but life-threatening
complication. J Orthop Case Rep. 2016; 6(4):3-5.
10. Christian MS, Munson ES, Hamilton WK.
Pneumothorax following induction of anesthesia.
JAMA. 1969; 209(11):1710-1.
11. Rastogi PN, Wright JE. Bilateral tension pneumothorax
under anaesthesia. Anaesthesia. 1969; 24(2):249-52.
12. Choy MC, Pescod D. Pneumothorax in association
with spontaneous ventilation general anaesthesia--an
unusual cause of hypoxaemia. Anaesth Intensive Care.
2007; 35(2):270-3.
13. Vezzani A, Manca T, Benassi F, Santori G, Valentino M,
Nicolini F, et al. Diagnostic value of chest ultrasound
after cardiac surgery: a comparison with chest X-ray
and auscultation. J Cardiothorac Vasc Anesth. 2014;
28(6):1527-32.
The Archives of Bone and Joint Surgery
Volume 5, Issue 6
November 2017
Pages 459-463

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History

  • Receive Date: 22 March 2017
  • Revise Date: 22 August 2017
  • Accept Date: 26 October 2017

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