Pneumomediastinum and retroperitoneal air after removal of papillomas with the microdebrider and jet ventilation.

Abstract:

OBJECTIVE:To discuss the complication of pneumothorax from alveolar rupture after transtracheal high-frequency jet ventilation and to present a case of pneumothorax, pneumomediastinum and pneumoperitoneum after jet ventilation coupled with use of the microdebrider. METHOD:Detailed case report. RESULTS:Unilateral pnuemothorax, subcutaneous emphysema, pneumomediastinum and retroperitoneal air discovered after jet ventilation for removal of airway papillomas resolved with conservative management. DISCUSSION:We discuss the difference between the respective patterns of air seepage in a peripheral alveolar injury versus a probable microperforation in the trachea. We also review the epidemiology of this rare disorder and its incidence in the African-American community. CONCLUSION:The recurrent nature of this disorder mandates multiple surgical procedures. Great care must be taken to eradicate disease and avoid complications. Pneumomediastinum in this setting can be managed conservatively.

journal_name

J Natl Med Assoc

authors

Sims HS,Lertsburapa K

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1068-70

issue

9

eissn

0027-9684

issn

1943-4693

journal_volume

99

pub_type

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