Hydrothorax: an unexpected complication after laparoscopic myomectomy

We report a case of hydrothorax as a complication of laparoscopic myomectomy in an otherwise healthy woman. The most likely cause of the patient's hydrothorax was irrigation fluid moving from the peritoneal cavity into the pleural space via defects in the diaphragm. Anaesthestists and surgeons should consider hydrothorax as a potential complication in any patient undergoing laparoscopy.