Severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser enucleation and morcellation of the prostate: a case report.
10.4097/kjae.2016.69.2.185
- Author:
Sung Hoon KIM
1
;
Hyo Jung SON
;
Jae Won KIM
;
Yu Gyeong KONG
;
Jai Hyun HWANG
;
Young Kug KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kyk@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Dyspnea;
Intraperitoneal fluid collection;
Laser enucleation;
Morcellation;
Prostate
- MeSH:
Abdomen;
Drainage;
Dyspnea*;
Humans;
Laser Therapy;
Pelvis;
Prostate*;
Prostatic Hyperplasia;
Ureter;
Urinary Bladder
- From:Korean Journal of Anesthesiology
2016;69(2):185-188
- CountryRepublic of Korea
- Language:English
-
Abstract:
Laser enucleation and morcellation of the prostate is an increasingly used surgical management of benign prostatic hyperplasia. However, it can cause several complications including capsular perforation, ureteral orifice injury, and bladder mucosal morcellation injury. Herein, we report a case of severe postoperative dyspnea caused by neglected massive intraperitoneal fluid collection during laser surgery of the prostate. The patient experienced massive abdominal distension and severe respiratory difficulty after the procedure. Although immediate postoperative cystogram showed no leakage of contrast dye, the computed tomography scan of the abdomen and pelvis showed massive fluid collection in the abdominal pelvic cavity suggesting bladder wall injury. After percutaneous drainage of intraperitoneal fluid, abdominal distention and dyspnea were relieved.
