Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy
Postoperative diaphragmatic hernia following transhiatal oesophagectomy is a rare but potentially life threatening complication. We describe a case of a 65 year old patient who developed diaphragmatic hernia following oesophagectomy and presented with cardio pulmonary compromise. During surgery, hae...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=191;epage=192;aulast=Lagoo |
| _version_ | 1819151563952750592 |
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| author | Jui Y Lagoo Bindu George Kshma A Kilpadi Lincy S Fernandes |
| author_facet | Jui Y Lagoo Bindu George Kshma A Kilpadi Lincy S Fernandes |
| author_sort | Jui Y Lagoo |
| collection | DOAJ |
| description | Postoperative diaphragmatic hernia following transhiatal oesophagectomy is a rare but potentially life threatening complication. We describe a case of a 65 year old patient who developed diaphragmatic hernia following oesophagectomy and presented with cardio pulmonary compromise. During surgery, haemodynamic instability continued despite fluid resuscitation and noradrenaline infusion. An immediate improvement in the haemodynamics and reduction in airway pressure occurred on reduction of the herniated colon from the thoracic cavity. This can be explained by tension colothorax causing collapse of the underlying lung and cardiac tamponade. It is a surgical emergency requiring urgent decompression for resuscitation. The etiology, clinical presentation, pathophysiology and preventive measures are discussed. |
| first_indexed | 2024-12-22T14:35:24Z |
| format | Article |
| id | doaj.art-7d79ee2271dd40be9d8689d4e241531b |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-22T14:35:24Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-7d79ee2271dd40be9d8689d4e241531b2022-12-21T18:22:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492013-01-0157219119210.4103/0019-5049.111855Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomyJui Y LagooBindu GeorgeKshma A KilpadiLincy S FernandesPostoperative diaphragmatic hernia following transhiatal oesophagectomy is a rare but potentially life threatening complication. We describe a case of a 65 year old patient who developed diaphragmatic hernia following oesophagectomy and presented with cardio pulmonary compromise. During surgery, haemodynamic instability continued despite fluid resuscitation and noradrenaline infusion. An immediate improvement in the haemodynamics and reduction in airway pressure occurred on reduction of the herniated colon from the thoracic cavity. This can be explained by tension colothorax causing collapse of the underlying lung and cardiac tamponade. It is a surgical emergency requiring urgent decompression for resuscitation. The etiology, clinical presentation, pathophysiology and preventive measures are discussed.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=191;epage=192;aulast=LagooCardiac tamponadediaphragmatic herniashocktranshiatal oesophagectomy |
| spellingShingle | Jui Y Lagoo Bindu George Kshma A Kilpadi Lincy S Fernandes Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy Indian Journal of Anaesthesia Cardiac tamponade diaphragmatic hernia shock transhiatal oesophagectomy |
| title | Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy |
| title_full | Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy |
| title_fullStr | Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy |
| title_full_unstemmed | Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy |
| title_short | Tension colothorax causing cardiac tamponade: A life-threatening complication following transhiatal oesophagectomy |
| title_sort | tension colothorax causing cardiac tamponade a life threatening complication following transhiatal oesophagectomy |
| topic | Cardiac tamponade diaphragmatic hernia shock transhiatal oesophagectomy |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=191;epage=192;aulast=Lagoo |
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