Abstract
A 43-year-old woman (G = 3, P = 0, C delivery = 3) underwent a total laparoscopic hysterectomy for uterine myomatosis. A Palmer point was used to insufflate the abdominal cavity (Supplemental Fig. 1), subcutaneous emphysema occurred during the procedure (Supplemental Fig. 2), and the Veress needle was redirected. An excessive retroperitoneal CO2 was visualized (Fig. 1), (Supplemental Fig. 3). The surgery went smoothly. In the recovery room, the patient was hemodynamic and respiratory unstable; intubation was necessary.
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