Bladder (San Francisco, Calif.) · 2025
Pneumomediastinum as a complication of robotic-assisted radical nephrectomy: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Nafie Ahmed, Agag Ayman, Reekhaye Abhishek, Hussain Muddassar, Malki Manar, Barber Neil
Аннотация
BACKGROUND: Pneumomediastinum represents a rare but potentially serious complication of robotic-assisted radical nephrectomy, often resulting from carbon dioxide insufflation during retroperitoneal surgery.
CASE PRESENTATION: Reported here is a case of a 78-year-old female who underwent an uneventful robotic-assisted radical nephrectomy for a right renal mass but presented 5 days postoperatively with shortness of breath and chest discomfort. Imaging confirmed extensive pneumomediastinum without esophageal perforation. She was managed conservatively with oxygen therapy, pain control, and a soft diet, leading to full recovery.
CONCLUSION: Awareness of risk factors, such as a low body mass index, prolonged operative time, and extensive retroperitoneal dissection, is essential for early recognition and management of this rare complication.
CASE PRESENTATION: Reported here is a case of a 78-year-old female who underwent an uneventful robotic-assisted radical nephrectomy for a right renal mass but presented 5 days postoperatively with shortness of breath and chest discomfort. Imaging confirmed extensive pneumomediastinum without esophageal perforation. She was managed conservatively with oxygen therapy, pain control, and a soft diet, leading to full recovery.
CONCLUSION: Awareness of risk factors, such as a low body mass index, prolonged operative time, and extensive retroperitoneal dissection, is essential for early recognition and management of this rare complication.