Korean J Anesthesiol.  2013 Apr;64(4):367-372. 10.4097/kjae.2013.64.4.367.

Pneumomediastinum after functional endoscopic sinus surgery under general anesthesia: A case report

• Park JM
• Park YC
• Lee JN
• Bae JS
• Kang SK

• KMID: 2299377
• DOI: http://doi.org/10.4097/kjae.2013.64.4.367

Abstract

The occurrences of pneumothorax and pneumomediastinum are rare, but considered to be potentially life-threatening conditions in patients undergoing functional endoscopic sinus surgery under general anesthesia. Tracheobronchial rupture may results in serious complications, such as pneumothorax and pneumomediastinum. It may occur accidentally by endotracheal tube when the patient's neck is flexed or extended. We report the case of a 48-year-old female patient who developed massive subcutaneous emphysema, pneumothorax, pneumomediastinum and pneumoperitoneum seven hours after functional endoscopic sinus surgery under general anesthesia.

Keyword

Pneumomediastinum; Pneumothorax; Tracheobronchial rupture; Valsalva maneuver

MeSH Terms

Anesthesia, General
Female
Humans
Mediastinal Emphysema
Neck
Pneumoperitoneum
Pneumothorax
Rupture
Subcutaneous Emphysema
Valsalva Maneuver