Volume 3, Issue 3, May 2015, Page: 10-13
Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery
Won Jun Seo, Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Won Sang Lee, Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Yu Sun Choi, Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Myeong Jong Lee, Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Kyu Chang Lee, Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Hye Young Kim, Department of Anesthesiology and Pain Medicine, Konkuk University Medical School, Chungju, Korea
Received: Jul. 12, 2015;       Accepted: Jul. 17, 2015;       Published: Jul. 31, 2015
DOI: 10.11648/j.ja.20150303.11      View  5404      Downloads  98
Abstract
This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The atelectasis did not improve following ventilator care and bronchial washing under bronchoscopic guidance. Chest radiography revealed a hemothorax, chest tube drainage was performed, and the patient’s condition improved. Hemothorax is rare complication of mTLIF. However, anesthesiologists should carefully observe the symptoms and the vital signs of the patient for this possibility.
Keywords
Atelectasis, Hemothorax, Spine
To cite this article
Won Jun Seo, Won Sang Lee, Yu Sun Choi, Myeong Jong Lee, Kyu Chang Lee, Hye Young Kim, Misdiagnosis of Hemothorax as Atelectasis After Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery, International Journal of Anesthesia and Clinical Medicine. Vol. 3, No. 3, 2015, pp. 10-13. doi: 10.11648/j.ja.20150303.11
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