- Ağrı Tıp Fakültesi Dergisi
- Vol: 1 Issue: 1
- Late period negative-pressure pulmonary edema after laparoscopic appendectomy in a young patient
Late period negative-pressure pulmonary edema after laparoscopic appendectomy in a young patient
Authors : Salih Aktaş, Eda Çelik, Mustafa Demir, Oğuzhan Tekin
Pages : 9-11
View : 66 | Download : 134
Publication Date : 2023-02-28
Article Type : Research Article
Abstract :This case report aimed to present the diagnosis and treatment process of a young patient who developed negative-pressure pulmonary oedema (NPPE) in the late period of laparoscopic appendectomy. A 25-year-old man was admitted with abdominal pain, vomiting, and a lack of appetite. An emergency appendectomy due to a diagnosis of acute appendicitis was performed via laparoscopy. The operation, which lasted one hour, went smoothly. In the 3rd hour of the patient\'s service follow-up, respiratory distress started, and the saturation values decreased to 60% in room air. The computed tomography scan showed bilateral infiltration areas at diffuse ground glass density. The patient was followed up at the intensive care unit (ICU) with the diagnosis of NPPE. Non-Invasive-Mechanic-Ventilation was started with steroid and furosemide treatment. After treatment, dramatic improvement was observed on the patient\'s chest radiograph after 24 hours. NIMV was applied 8 hours/day, and the patient was treated for two days at ICU. The patient, whose vital signs were stable and whose chest X-ray was normal, was discharged on the 5th postoperative day.Keywords : Apendektomiler, ödem, non-invaziv ventilasyon, pulmoner.