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Lung Collapse Secondary to Mucus Plug in a Gynecologic Patient After Reconstructive Pelvic Surgery

Lazarou, George MD, FACOG, FACS*†; Slavin, Stephen MD; Cui, Nuan MD*; Mitchell, Kaitlyn BS

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e3182a5de9e
Case Report
Abstract

Abstract: This is the case of a 45-year-old woman with a history of asthma and smoking who developed complete left lung and right upper lobe collapse secondary to mucus plugs that developed immediately postoperatively after an uncomplicated reconstructive pelvic surgery. This rare intraoperative complication was successfully treated in the recovery room with bedside fiber-optic bronchoscopy. This resulted in complete resolution of her pulmonary findings within 24 hours of bronchoscopy.

In Brief

Patients with a history of smoking and chronic pulmonary disease should be optimized before surgery to prevent postoperative pulmonary complications such as atelectasis and mucus secretion.

Author Information

From the *Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY; †Stony Brook University School of Medicine, Stony Brook, NY; and ‡Department of Anesthesiology, Winthrop University Hospital, Mineola, NY.

Reprints: George Lazarou, MD, FACOG, FACS, Urogynecology and Reconstructive Pelvic Surgery, Winthrop-University Hospital; and Department of Obstetrics, Gynecology and Women’s Health, Stony Brook University Hospital, 259 First St, Mineola, NY, 11501. E-mail: glazarou@winthrop.org.

The authors declared they have no conflicts of interest.

© 2014 by Lippincott Williams & Wilkins