Department of Orthopedic Surgery, Prince Mohammed Bin Abdulaziz Hospital, Almadinah Almunawwarah, Saudi Arabia.
Department of Orthopedics, College of Medicine, King Saud Bin Abdulaziz University of Health Sciences, Riyadh, Saudi Arabia.
Am J Case Rep. 2020 Nov 13;21:e926357. doi: 10.12659/AJCR.926357.
BACKGROUND Airway compromise caused by massive fluid extravasation in association with arthroscopic shoulder surgery is rare. However, it is even more rare to occur as a result of pleural effusion. We present this case to increase the awareness of this rare complication and show how to minimize the likelihood of this uncommon incident. CASE REPORT We describe a case of a 68-year-old woman who underwent elective shoulder arthroscopy for rotator cuff repair. She had immediate postoperative shortness of breath and was found to have bilateral pulmonary edema and pleural effusion accompanied by metabolic acidosis. She was managed conservatively in the intensive care unit and then transferred to the general ward after clinical and radiological improvement the next day. CONCLUSIONS This uncommon complication was self-limiting, and the patient recovered uneventfully. High clinical suspicion is required to address this event so proper rapid management can be made.
与关节镜肩关节手术相关的大量液体渗出导致气道阻塞很少见。然而，由于胸腔积液而导致这种情况更加罕见。我们提出这个病例是为了提高对这种罕见并发症的认识，并展示如何最大限度地减少这种不常见事件的发生。
我们描述了一位 68 岁女性的病例，她因肩袖修复而行择期肩关节镜检查。她术后立即出现呼吸急促，并发现双侧肺水肿和胸腔积液，伴有代谢性酸中毒。她在重症监护病房接受保守治疗，第二天临床和影像学改善后转入普通病房。
这种不常见的并发症是自限性的，患者恢复顺利。需要高度的临床怀疑来解决这种情况，以便进行适当的快速治疗。
