[Pneumothorax revealed by postoperative computed tomography].
We report a case of pneumothorax revealed by postoperative computed tomography. A 39-year-old obese woman (height 153 cm, weight 70 kg) with fractures of the radius, ulna, clavicle, and femur in a traffic accident, was scheduled for osteosynthesis. Anesthesia was induced with thiopental and maintained with 50% nitrous oxide in oxygen and sevoflurane. The Spo2 decreased from 99% to 94% during the surgery. Bilateral chest sounds were symmetrical. The Spo2 increased to 100% after discontinuation of nitrous oxide. Pneumothorax was not evident on a postoperative chest X-ray, but computed tomography of the chest demonstrated right-sided pneumothorax. An ECG electrode had overlapped the fractured rib on the preoperative chest X-ray.
Ikeda
Shizuka
S
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
Katori
Kiyoshi
K
Fujimoto
Minoru
M
Nitahara
Keiichi
K
Higa
Kazuo
K
D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D006801:Humans; D011030:Pneumothorax / Q000000981:diagnostic imaging*; D011184:Postoperative Period; D013902:Radiography, Thoracic; D012253:Rib Fractures / Q000601:surgery; D014057:Tomography, X-Ray Computed