Symptomatic postoperative compressive pneumocephalus after cholecystectomy
  • Zaky Mehdi Benamar
    Service des Urgences, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Camille Huet
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Maxime Rousseau
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Léa Docquier
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Emmanuel Andres
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Pascal Bilbaut
    Service des Urgences, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Noel Lorenzo-Villalba
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France

Keywords

Pneumocephalus, cerebral CT scan, cholescystectomy

Abstract

A 75-year-old woman with a history of chronic hydrocephalus due to stenosis of the aqueduct of Sylvius was examined at the emergency department for altered mental status. There was placement of a ventriculoperitoneal shunt in 1970 complicated by meningitis, leading to removal of the material and ventriculociternostomy as definitive treatment in 2004. About one month previously, she had undergone a laparoscopic cholecystectomy complicated by an intra-abdominal collection. Clinical examination at the emergency department revealed a Glasgow score of 8 (E3 V1 M4). In the emergency department the patient presented a tonic-clonic seizure before a cerebral CT scan was performed showing a massive compressive pneumocephalus, then a second seizure. The patient was finally admitted to the neurosurgery department and underwent surgery.

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    Published: 2023-11-07
    Issue: 2023: Vol 10 No 12 (view)

    How to cite:
    1.
    Benamar ZM, Huet C, Rousseau M, Docquier L, Andres E, Bilbaut P, Lorenzo-Villalba N. Symptomatic postoperative compressive pneumocephalus after cholecystectomy. EJCRIM 2023;10 doi:10.12890/2023_004160.

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