Bilateral Pneumothorax After Bronchoscopy Without Biopsy—A Rare Complication

The occurrence of a pneumothorax using supraglottic device is a rare complication during general anesthesia. Moreover, less than 2% of pneumothoraxes can be related to lung metastases, most due to soft tissue sarcoma. We present the case of a 45-year-old female diagnosed with metastatic sarcoma who developed a bilateral pneumothorax after general anesthesia with supraglottic device. Different causes of pneumothorax were discussed.

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Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography: A Rare Complication

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2010/894045 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Fotios Sampaziotis ◽

Alan Wiles ◽

Syed Shaukat ◽

Richard J. Dickinson

Keyword(s):

Endoscopic Retrograde Cholangiopancreatography ◽

Subcutaneous Emphysema ◽

Rare Complication ◽

Pancreatic Disease ◽

Therapeutic Modality ◽

Duodenal Perforation ◽

Chest Drain ◽

Bilateral Pneumothorax ◽

Endoscopic Retrograde ◽

Quick Recovery

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a widely used diagnostic and therapeutic modality in the management of biliary and pancreatic disease. Some of the complications of the procedure, although rare, may carry significant morbidity and mortality risks. We describe the case of a 68-year-old female who underwent elective ERCP for ductal stone clearance. Immediately postprocedure, the patient developed subcutaneous emphysema and bilateral pneumothoraces. Further imaging revealed the presence of free intra-abdominal air. The patient made a very quick recovery after bilateral chest drain insertion and no further intervention was required. We propose that pneumothorax, pneumomediastinum, and subcutaneous emphysema during ERCP, in the absence of duodenal perforation may be explained by leakage of air from a site of low resistance such as the sphincterotomy site, or as a result of copious Valsalva manoeuvres performed by a patient tolerating the procedure poorly.

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Septic pulmonary emboli causing recurrent bilateral pneumothoraces in a patient with right sided endocarditis: A case report and review of literature

SAGE Open Medical Case Reports ◽

10.1177/2050313x18784823 ◽

2018 ◽

Vol 6 ◽

pp. 2050313X1878482

Author(s):

Sumit Kapoor ◽

Jyotsana Thakkar ◽

Muhammad Asim Siddique

Keyword(s):

Case Report ◽

Drug Abuse ◽

Rare Complication ◽

Pleural Space ◽

Pulmonary Emboli ◽

Review Of Literature ◽

Bilateral Pneumothorax ◽

History Of ◽

Thin Walled ◽

Tricuspid Valve Endocarditis

Patients with a history of drug abuse and right sided endocarditis are prone to develop septic pulmonary emboli. Pneumothorax is a rare complication of septic pulmonary emboli reported in the literature, likely due to the rupture of thin-walled septic cavitary lesions resembling pneumatoceles into the pleural space. Only seven cases (including our case) of pneumothorax from septic pulmonary emboli due to right sided endocarditis have been described in the literature. Our patient is the first reported case of recurrent bilateral pneumothorax due to septic pulmonary emboli and tricuspid valve endocarditis.

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