Thorac cardiovasc Surg 2014; 62(06): 531-534
DOI: 10.1055/s-0032-1322616
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Tension Subcutaneous Emphysema during Laparoscopic Surgery Treatment of Colon Cancer: A Case Report

J. S. Chea
1  Department of Anesthesiology and Intensive Care, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
,
S. M. Chae
1  Department of Anesthesiology and Intensive Care, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
,
S. W. Moon
2  Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
› Author Affiliations
Further Information

Publication History

01 March 2012

05 June 2012

Publication Date:
24 November 2012 (eFirst)

Abstract

Carbon dioxide (CO2) insufflation is now essential for most endoscopic surgeries, such as abdominal, pelvic, and neck endoscopic surgery. It is not uncommon for CO2 leaks to occur unintentionally into subcutaneous tissue, later diffusing into a patient's bloodstream and resulting in hypercarbia. Regardless of the etiology of subcutaneous emphysema, a similar clinical management is required. Herein, we report on a case of tension subcutaneous emphysema and subsequent fatal ventilatory failure due to massive subcutaneous emphysema during laparoscopy. A timely blowhole incision is an effective intervention in an emergent setting like this case, although the patient had endotracheal intubation.