Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report
Abstract Background In patients undergoing abdominal radiotherapy or transurethral surgery, bladder perforations are a possible complication. Likewise, pleural effusions due to a pleuroperitoneal leak caused by either a congenital or acquired diaphragmatic defect can also occur. We report a case in...
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-022-01575-y |
| _version_ | 1818870929734762496 |
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| author | Mei Sunabe Takuo Hoshi Emina Niisato |
| author_facet | Mei Sunabe Takuo Hoshi Emina Niisato |
| author_sort | Mei Sunabe |
| collection | DOAJ |
| description | Abstract Background In patients undergoing abdominal radiotherapy or transurethral surgery, bladder perforations are a possible complication. Likewise, pleural effusions due to a pleuroperitoneal leak caused by either a congenital or acquired diaphragmatic defect can also occur. We report a case in which a saline solution, which migrated into the abdominal cavity from a bladder perforation during transurethral electrocoagulation, further formed bilateral pleural effusions and caused rapid ventilation failure. Case presentation A patient undergoing radiation therapy and hormone therapy for prostate cancer underwent emergency surgery for electrocoagulation due to hematuria and a rapid drop in hemoglobin. The surgery began under general anesthesia, and we first noticed an increase in airway pressure and a decrease in dynamic lung compliance, followed by abdominal distension. Based on readouts from the respiratory mechanics monitor, we suspected lung abnormalities and performed a pulmonary ultrasound, leading to a diagnosis of bilateral pleural effusions, which we then drained. Conclusions Respiratory mechanics monitoring is simple and can be performed at all times during anesthesia, and when combined with pulmonary ultrasound, diagnoses can be made quickly and prevent deaths. |
| first_indexed | 2024-12-19T12:14:50Z |
| format | Article |
| id | doaj.art-3cf4f43b4e994b819bdd273d0f3cd9e6 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-19T12:14:50Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-3cf4f43b4e994b819bdd273d0f3cd9e62022-12-21T20:22:01ZengBMCBMC Anesthesiology1471-22532022-02-012211410.1186/s12871-022-01575-yRespiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case reportMei Sunabe0Takuo Hoshi1Emina Niisato2Department of Anesthesiology and Critical Care Medicine, Ibaraki Prefectural Central HospitalDepartment of Anesthesiology and Critical Care Medicine, Ibaraki Clinical Education and Training Center, University of TsukubaDepartment of Anesthesiology and Critical Care Medicine, Ibaraki Prefectural Central HospitalAbstract Background In patients undergoing abdominal radiotherapy or transurethral surgery, bladder perforations are a possible complication. Likewise, pleural effusions due to a pleuroperitoneal leak caused by either a congenital or acquired diaphragmatic defect can also occur. We report a case in which a saline solution, which migrated into the abdominal cavity from a bladder perforation during transurethral electrocoagulation, further formed bilateral pleural effusions and caused rapid ventilation failure. Case presentation A patient undergoing radiation therapy and hormone therapy for prostate cancer underwent emergency surgery for electrocoagulation due to hematuria and a rapid drop in hemoglobin. The surgery began under general anesthesia, and we first noticed an increase in airway pressure and a decrease in dynamic lung compliance, followed by abdominal distension. Based on readouts from the respiratory mechanics monitor, we suspected lung abnormalities and performed a pulmonary ultrasound, leading to a diagnosis of bilateral pleural effusions, which we then drained. Conclusions Respiratory mechanics monitoring is simple and can be performed at all times during anesthesia, and when combined with pulmonary ultrasound, diagnoses can be made quickly and prevent deaths.https://doi.org/10.1186/s12871-022-01575-yRespiratory distressHydrothoraxTransurethral electrocoagulationDynamic lung complianceAirway pressurBackground |
| spellingShingle | Mei Sunabe Takuo Hoshi Emina Niisato Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report BMC Anesthesiology Respiratory distress Hydrothorax Transurethral electrocoagulation Dynamic lung compliance Airway pressurBackground |
| title | Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report |
| title_full | Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report |
| title_fullStr | Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report |
| title_full_unstemmed | Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report |
| title_short | Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report |
| title_sort | respiratory distress associated with acute hydrothorax during transurethral electrocoagulation a case report |
| topic | Respiratory distress Hydrothorax Transurethral electrocoagulation Dynamic lung compliance Airway pressurBackground |
| url | https://doi.org/10.1186/s12871-022-01575-y |
| work_keys_str_mv | AT meisunabe respiratorydistressassociatedwithacutehydrothoraxduringtransurethralelectrocoagulationacasereport AT takuohoshi respiratorydistressassociatedwithacutehydrothoraxduringtransurethralelectrocoagulationacasereport AT eminaniisato respiratorydistressassociatedwithacutehydrothoraxduringtransurethralelectrocoagulationacasereport |