A case of pneumoperitoneum after Video-assisted thoracoscopic surgery for pneumothrax

Abstract

A 78-year-old man complaining of dyspnea was admitted to our hospital because of left pneumothrax . Videoassisted thoracoscopic surgery was performed for air leakage.
Abdominal free air was detected in the right subphrenic space on chest X-ray on the first day after the operation. On CT the gas shadows were recognized at the portal fissure, right subphrenic space and right perinephrium. The free air was absorbed gradually over two weeks without symptoms or remarkable radiological findings . Accordingly, after the thoracoscopic surgery pneumoperitoneum was diagnosed.