The incidence of incomplete neuromuscular recovery of 26% confirms that it is relatively frequent in the postoperative period and calls attention to the dimension of this problem in Portugal.

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Pneumothorax is one of the dreaded complications following general anesthesia, which if not recognized well in time leads to increased morbidity and mortality. It commonly precipitates following a pulmonary barotrauma and a significant incidence is due to an iatrogenic cause. We present an unnusual occurrence of pneumothorax in a 49 year old female patient admitted for a laparoscopic adjustable gastric banding. Etiology, mechanism of air-entry from peritoneal to pleural cavity and management are dicussed.