Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis

We present a 67-year-old male with amyotrophic lateral sclerosis (ALS) who developed left lower lobe atelectasis and respiratory failure caused by a large pneumoperitoneum after gastrostomy placement. The patient was successfully managed with paracentesis, postural measures, and continued applicatio...

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Autores principales: Navarro-Esteva, Javier, Evora-Garcia, Marta, Perez-Mendoza, Guillermo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Pulmonology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167938/
https://www.ncbi.nlm.nih.gov/pubmed/37182016
http://dx.doi.org/10.7759/cureus.37298
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author Navarro-Esteva, Javier
Evora-Garcia, Marta
Perez-Mendoza, Guillermo
author_facet Navarro-Esteva, Javier
Evora-Garcia, Marta
Perez-Mendoza, Guillermo
author_sort Navarro-Esteva, Javier
collection PubMed
description We present a 67-year-old male with amyotrophic lateral sclerosis (ALS) who developed left lower lobe atelectasis and respiratory failure caused by a large pneumoperitoneum after gastrostomy placement. The patient was successfully managed with paracentesis, postural measures, and continued application of noninvasive positive pressure ventilation (NIPPV). There is no clear evidence that links the use of NIPPV with an increased risk of pneumoperitoneum. The evacuation of air from the peritoneal cavity may help improve the respiratory mechanics in patients with diaphragmatic weakness such as the one presented.
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spelling pubmed-101679382023-05-10 Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis Navarro-Esteva, Javier Evora-Garcia, Marta Perez-Mendoza, Guillermo Cureus Pulmonology We present a 67-year-old male with amyotrophic lateral sclerosis (ALS) who developed left lower lobe atelectasis and respiratory failure caused by a large pneumoperitoneum after gastrostomy placement. The patient was successfully managed with paracentesis, postural measures, and continued application of noninvasive positive pressure ventilation (NIPPV). There is no clear evidence that links the use of NIPPV with an increased risk of pneumoperitoneum. The evacuation of air from the peritoneal cavity may help improve the respiratory mechanics in patients with diaphragmatic weakness such as the one presented. Cureus 2023-04-08 /pmc/articles/PMC10167938/ /pubmed/37182016 http://dx.doi.org/10.7759/cureus.37298 Text en Copyright © 2023, Navarro-Esteva et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pulmonology
Navarro-Esteva, Javier
Evora-Garcia, Marta
Perez-Mendoza, Guillermo
Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis
title Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis
title_full Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis
title_fullStr Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis
title_full_unstemmed Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis
title_short Large Pneumoperitoneum After Gastrostomy Placement in a Patient With Amyotrophic Lateral Sclerosis
title_sort large pneumoperitoneum after gastrostomy placement in a patient with amyotrophic lateral sclerosis
topic Pulmonology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167938/
https://www.ncbi.nlm.nih.gov/pubmed/37182016
http://dx.doi.org/10.7759/cureus.37298
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