[Bilateral pneumothorax; a rare complication of gynecological laparoscopy (author's transl)].
A case with bilateral pneumothorax in association with laparoscopy is described. Several hypotheses could explain this rare complication. 1. It could be an association of the induced pneumoperitoneum and a bilateral pneumothorax due to rupture of both mediastinal pleurae or emphysematous bullae secondary to positive pressure ventilation during anesthesia. 2. The pneumoperitoneum could be directly related to the pneumothorax by subperitoneal air extension to both pleurae with secondary rupture. Less likely is the hypothesis in which a pleuro-peritoneal communication exists, whether congenital or acquired, on both halfs of the diaphragm.
D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects; D004322:Drainage; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011030:Pneumothorax / Q000209:etiology* / Q000628:therapy
Pneumothorax bilatéral, complication exceptionnele d'une laparoscopie gynécologique.