Unilateral diaphragmatic paralysis after laparoscopic cholecystectomy

E Díez Castillo; S Telletxea Benguria; K Intxaurraga Fernández; B Esnaola Iriarte

doi:10.1016/j.redar.2019.01.006

Unilateral diaphragmatic paralysis after laparoscopic cholecystectomy

Rev Esp Anestesiol Reanim (Engl Ed). 2019 Jun-Jul;66(6):342-345. doi: 10.1016/j.redar.2019.01.006. Epub 2019 Mar 9.

[Article in English, Spanish]

Authors

E Díez Castillo¹, S Telletxea Benguria², K Intxaurraga Fernández², B Esnaola Iriarte²

Affiliations

¹ Servicio de Anestesiología y Reanimación y Terapéutica del Dolor, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, España. Electronic address: elisa.diezcastillo@osakidetza.eus.
² Servicio de Anestesiología y Reanimación y Terapéutica del Dolor, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, España.

PMID: 30862399
DOI: 10.1016/j.redar.2019.01.006

Abstract

Laparoscopic cholecystectomy is currently the gold standard treatment for acute biliary tract pathology. Despite its many advantages compared to open surgery, it is not without complications. We present the case of an 82-year-old man who, after a diagnosis of gangrenous cholecystitis, underwent urgent laparoscopic cholecystectomy. During the first 24hours after the surgery, he had an episode of acute respiratory failure, for which he was admitted to the critical care unit. Studies performed later showed paralysis of the right diaphragm that was probably related to the surgery.

Keywords: Cholecystectomy; Colecistectomía; Diaphragm paralysis; Laparoscopia; Laparoscopy; Nervio frénico; Parálisis diafragma; Phrenic nerve.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Cholecystectomy, Laparoscopic / adverse effects*
Humans
Male
Postoperative Complications / etiology*
Respiratory Paralysis / etiology*