title: Pneumoperitoneum complicated pneumomediastinum causing cardiovascular deterioration in a low-body-weight premature infant during laparoscopic Nissen fundoplication.
abstract: Due to smaller incisions, fewer wound injuries, and a shorter time of recovery, laparoscopic procedures are becoming increasingly popular in pediatric surgery, but the safety of their application in low-body-weight or premature infants should be a major concern. Here we present a case report of a 3-month-old premature infant, who developed a sudden change of hemodynamic instability while undergoing a laparoscopic Nissen's fundoplication for gastroesophageal reflex disease. This was thought to result from an accidental passage of massive insufflation of carbon dioxide gas across the diaphragm, leading to pneumomediastinum.
authors: Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan. Electronic address: evita0715@gmail.com.
authors: Mei-Chi
authors: MC
authors: Lin
authors: Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan.
authors: Chia-Lin
authors: CL
authors: Lee
authors: Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan.
authors: Chea-Ying
authors: CY
authors: Chen
authors: Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan.
authors: Ruey-Horng
authors: RH
authors: Rau
mesh_terms: D018662:Fundoplication / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D007234:Infant, Premature; D010535:Laparoscopy; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology* / Q000503:physiopathology; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects*
keywords: infant; laparoscopy; mediastinal emphysema; premature