Anesthésie et recherche clinique
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Breaking the Diaphragmatic Barrier: Unilateral Pneumothorax and Hemothorax after Laparoscopic Myomectomy

Tanvi M Meshram, Dhruv Jain and Puneet Khanna

Laparoscopic surgeries can be associated with thoracic complications like pneumothorax and hemothorax. During laparoscopy, opening of pleura-peritoneal channels and defects in the diaphragm can occur termed as porous diaphragm syndrome and can result in pneumothorax. A 30 yr old woman undergoing laparoscopic myomectomy for uterine fibroid developed hemopneumothorax secondary to porous diaphragm syndrome in the post-operative period. ICD insertion and fluid resuscitation effectively treated this condition. The anesthetist and surgeon should be vigilant about these serious thoracic complications of laparoscopy and have knowledge on management of these conditions.