Cargando…

Airway management: induced tension pneumoperitoneum

Pneumoperitoneum is not always associated with hollow viscus perforation. Such condition is called non-surgical or spontaneous pneumoperitoneum. Intrathoracic causes remain the most frequently reported mechanism inducing this potentially life threatening complication. This clinical condition is asso...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahmed, Khedher, Amine, El Ghali Mohamed, Abdelbaki, Azouzi, Jihene, Ayachi, Khaoula, Meddeb, Yamina, Hamdaoui, Mohamed, Boussarsar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325505/
https://www.ncbi.nlm.nih.gov/pubmed/28292087
http://dx.doi.org/10.11604/pamj.2016.25.125.9038
_version_ 1782510398946148352
author Ahmed, Khedher
Amine, El Ghali Mohamed
Abdelbaki, Azouzi
Jihene, Ayachi
Khaoula, Meddeb
Yamina, Hamdaoui
Mohamed, Boussarsar
author_facet Ahmed, Khedher
Amine, El Ghali Mohamed
Abdelbaki, Azouzi
Jihene, Ayachi
Khaoula, Meddeb
Yamina, Hamdaoui
Mohamed, Boussarsar
author_sort Ahmed, Khedher
collection PubMed
description Pneumoperitoneum is not always associated with hollow viscus perforation. Such condition is called non-surgical or spontaneous pneumoperitoneum. Intrathoracic causes remain the most frequently reported mechanism inducing this potentially life threatening complication. This clinical condition is associated with therapeutic dilemma. We report a case of a massive isolated pneumoperitoneum causing acute abdominal hypertension syndrome, in a 75 year female, which occurred after difficult airway management and mechanical ventilation. Emergent laparotomy yielded to full recovery. The recognition of such cases for whom surgical management can be avoided is primordial to avoid unnecessary laparotomy and its associated morbidity particularly in the critically ill.
format Online
Article
Text
id pubmed-5325505
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher The African Field Epidemiology Network
record_format MEDLINE/PubMed
spelling pubmed-53255052017-03-10 Airway management: induced tension pneumoperitoneum Ahmed, Khedher Amine, El Ghali Mohamed Abdelbaki, Azouzi Jihene, Ayachi Khaoula, Meddeb Yamina, Hamdaoui Mohamed, Boussarsar Pan Afr Med J Case Report Pneumoperitoneum is not always associated with hollow viscus perforation. Such condition is called non-surgical or spontaneous pneumoperitoneum. Intrathoracic causes remain the most frequently reported mechanism inducing this potentially life threatening complication. This clinical condition is associated with therapeutic dilemma. We report a case of a massive isolated pneumoperitoneum causing acute abdominal hypertension syndrome, in a 75 year female, which occurred after difficult airway management and mechanical ventilation. Emergent laparotomy yielded to full recovery. The recognition of such cases for whom surgical management can be avoided is primordial to avoid unnecessary laparotomy and its associated morbidity particularly in the critically ill. The African Field Epidemiology Network 2016-10-31 /pmc/articles/PMC5325505/ /pubmed/28292087 http://dx.doi.org/10.11604/pamj.2016.25.125.9038 Text en © Khedher Ahmed et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. 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 work is properly cited.
spellingShingle Case Report
Ahmed, Khedher
Amine, El Ghali Mohamed
Abdelbaki, Azouzi
Jihene, Ayachi
Khaoula, Meddeb
Yamina, Hamdaoui
Mohamed, Boussarsar
Airway management: induced tension pneumoperitoneum
title Airway management: induced tension pneumoperitoneum
title_full Airway management: induced tension pneumoperitoneum
title_fullStr Airway management: induced tension pneumoperitoneum
title_full_unstemmed Airway management: induced tension pneumoperitoneum
title_short Airway management: induced tension pneumoperitoneum
title_sort airway management: induced tension pneumoperitoneum
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325505/
https://www.ncbi.nlm.nih.gov/pubmed/28292087
http://dx.doi.org/10.11604/pamj.2016.25.125.9038
work_keys_str_mv AT ahmedkhedher airwaymanagementinducedtensionpneumoperitoneum
AT amineelghalimohamed airwaymanagementinducedtensionpneumoperitoneum
AT abdelbakiazouzi airwaymanagementinducedtensionpneumoperitoneum
AT jiheneayachi airwaymanagementinducedtensionpneumoperitoneum
AT khaoulameddeb airwaymanagementinducedtensionpneumoperitoneum
AT yaminahamdaoui airwaymanagementinducedtensionpneumoperitoneum
AT mohamedboussarsar airwaymanagementinducedtensionpneumoperitoneum