title: [Pneumothorax and abdominal free air occurred after percutaneous tracheostomy (PCT)].
abstract: We report a case of pneumothorax and abdominal free air after percutaneous tracheostomy (PCT). A 80-year-old female was intubation for upper respiratory stenosis. We thought tracheal stenosis recurrence after extubation. PCT was performed. Respiratory insufficiency and subcutaneous emphysema appeared rapidly at face, neck and precordia Subcutaneous emphysema was pushed away. PCT was performed once more. Chest X-ray showed pneumothorax in right thoracic cavity. Thoracostomy tube was intubation. Chest computed tomography (CT) scan showed pneumothorax another thoracic cavity and abdominal free air. Vital signs was not worse, so observation. Postoperative course was uneventful. The patient was recovered. We thought that PCT was effective under bronchofiber.
authors.affiliation: Department of Surgery, Okinawa Medical Hospital, Nanjo, Japan.
authors.forename: Katsumasa
authors.initials: K
authors.lastname: Shimoji
authors.forename: Y
authors.initials: Y
authors.lastname: Kuniyoshi
authors.forename: T
authors.initials: T
authors.lastname: Miyaguni
authors.forename: M
authors.initials: M
authors.lastname: Toyama
authors.forename: S
authors.initials: S
authors.lastname: Miyazato
authors.forename: T
authors.initials: T
authors.lastname: Heshiki
authors.forename: K
authors.initials: K
authors.lastname: Uechi
authors.forename: C
authors.initials: C
authors.lastname: Oyama
authors.forename: N
authors.initials: N
authors.lastname: Maeshiro
authors.forename: T
authors.initials: T
authors.lastname: Maeshiro
mesh_terms: D000005:Abdomen; D000369:Aged, 80 and over; D000388:Air; D005260:Female; D006801:Humans; D011030:Pneumothorax / Q000209:etiology*; D011183:Postoperative Complications; D014139:Tracheostomy / Q000379:methods*