Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy
Subcutaneous emphysema is a known complication of carbon dioxide insufflation, an essential component of laparoscopy. The literature contains reports of hypercarbia, pneumothorax, or pneumomediastinum. However, isolated lower extremity subcutaneous emphysema remains a seldom-reported complication. W...
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| Format: | Article |
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Wiley
2015-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2015/860719 |
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| author | Monica Hagan Vetter Chelsea Mutscheller Joel Cardenas-Goicoechea |
| author_facet | Monica Hagan Vetter Chelsea Mutscheller Joel Cardenas-Goicoechea |
| author_sort | Monica Hagan Vetter |
| collection | DOAJ |
| description | Subcutaneous emphysema is a known complication of carbon dioxide insufflation, an essential component of laparoscopy. The literature contains reports of hypercarbia, pneumothorax, or pneumomediastinum. However, isolated lower extremity subcutaneous emphysema remains a seldom-reported complication. We report a case of unilateral lower extremity subcutaneous emphysema following robotic-assisted hysterectomy, bilateral salpingooophorectomy, staging, and anterior/posterior colporrhaphy for carcinosarcoma and vaginal prolapse. On postoperative day 1, the patient developed tender crepitus and bruising of her right ankle. Radiography confirmed presence of subcutaneous air. Vital signs and laboratory findings were unremarkable. Her symptoms spontaneously improved over time, and she was discharged in good condition on day 2. In stable patients with postoperative extremity swelling or pain with crepitus on exam, the diagnosis of iatrogenic subcutaneous emphysema must be considered. |
| format | Article |
| id | doaj-art-0a2f583996d24952baa7b9fd8cae6075 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-0a2f583996d24952baa7b9fd8cae60752025-02-03T05:44:50ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/860719860719Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted HysterectomyMonica Hagan Vetter0Chelsea Mutscheller1Joel Cardenas-Goicoechea2Department of Obstetrics/Gynecology, The Ohio State University, 5th Floor, 395 West 12th Avenue, Columbus, OH 43210, USADepartment of Obstetrics/Gynecology, The Ohio State University, 5th Floor, 395 West 12th Avenue, Columbus, OH 43210, USAThe Mark H. Zangmeister Center, 3100 Plaza Properties Boulevard, Columbus, OH 43219, USASubcutaneous emphysema is a known complication of carbon dioxide insufflation, an essential component of laparoscopy. The literature contains reports of hypercarbia, pneumothorax, or pneumomediastinum. However, isolated lower extremity subcutaneous emphysema remains a seldom-reported complication. We report a case of unilateral lower extremity subcutaneous emphysema following robotic-assisted hysterectomy, bilateral salpingooophorectomy, staging, and anterior/posterior colporrhaphy for carcinosarcoma and vaginal prolapse. On postoperative day 1, the patient developed tender crepitus and bruising of her right ankle. Radiography confirmed presence of subcutaneous air. Vital signs and laboratory findings were unremarkable. Her symptoms spontaneously improved over time, and she was discharged in good condition on day 2. In stable patients with postoperative extremity swelling or pain with crepitus on exam, the diagnosis of iatrogenic subcutaneous emphysema must be considered.http://dx.doi.org/10.1155/2015/860719 |
| spellingShingle | Monica Hagan Vetter Chelsea Mutscheller Joel Cardenas-Goicoechea Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy Case Reports in Obstetrics and Gynecology |
| title | Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy |
| title_full | Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy |
| title_fullStr | Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy |
| title_full_unstemmed | Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy |
| title_short | Iatrogenic Lower Extremity Subcutaneous Emphysema after Prolonged Robotic-Assisted Hysterectomy |
| title_sort | iatrogenic lower extremity subcutaneous emphysema after prolonged robotic assisted hysterectomy |
| url | http://dx.doi.org/10.1155/2015/860719 |
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