CTICasesBilateral Capnothorax Post Heller Myotomy and Nissen Fundoplication
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[...]. Bilateral Capnothorax Post Heller Myotomy and Nissen Fundoplication. CTICases. Published August 14, 2015. https://str-case-explorer.pages.dev/c/2x8jj
Imaging findings
Post-operative chest x-rays following Heller myotomy and Nissen fundoplication showed bilateral pneumothoraces. Subsequent imaging an hour and a half later demonstrated resolving pneumothoraces, with the patient remaining clinically stable.
Key takeaways
Bilateral capnothorax is a known complication of laparoscopic Heller myotomy and Nissen fundoplication, resulting from the dissection and insufflation of CO2 gas, which can track into the pleural spaces. It typically resolves spontaneously without intervention if the patient is stable.
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