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Unilateral Diaphragmatic Paralysis, A Rare Complication of Laparoscopic Resection of an Ovary Cyst: A Case Report

Year: 2025

Type: article

Abstract: Unilateral diaphragmatic paralysis can happen after different thoracic surgeries; however, the development of this disorder after laparoscopy surgery is a very uncommon problem. We reported a case of unilateral diaphragmatic paralysis in a young female, who underwent laparoscopic resection of an ovary cyst. She presented respiratory distress during anesthesia recovery and thus was intubated. Chest X-ray showed an elevated right hemidiaphragm with no evidence of pneumothorax or other pulmonary problems. She experienced full recovery from the paralysis with no specific intervention, four days after surgery and was discharged in good condition. In conclusion, a rare complication of the laparoscopy surgery is unilateral paralysis of the diaphragm muscle. It seems that this condition may resolve spontaneously or may need further supportive treatments. Our case was a young woman who experienced this improvement after a short period; however, some may need surgical plication and phrenic nerve pacing. Still, there may be some cases that accommodate the condition and need no treatment.

Source: Journal of Obstetrics Gynecology and Cancer Research

DOI: 10.30699/jogcr.10.6.499

Authors: Shadi Moloughi, Seyedeh Azam Pourhoseini, Mona Jafari, Amin Dalili

Institutions: Mashhad University of Medical Sciences, Emam Reza Hospital

Language: English

Topic: Pneumothorax, Barotrauma, Emphysema

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4410488686