Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 10

Bedside decompression of abdominal compartment syndrome caused by spontaneous pneumoperitoneum: A case report

Pages
1534–1537
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

SP coexisting with ACS is extremely rare.With this case report, we aimed to raise awareness of SP among physicians and help avoid unnecessary laparotomies.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pneumoperitoneum is the presence of free air within the peritoneal cavity and indicates perforation of a hollow viscus.
📊
Key Findings & Data:A 57-year-old female patient who was intubated and mechanically ventilated due to respiratory failure developed abdominal compartment syndrome (ACS) secondary to massive SP.
💡
Conclusion & Impact:SP coexisting with ACS is extremely rare.With this case report, we aimed to raise awareness of SP among physicians and help avoid unnecessary laparotomies.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pneumoperitoneum is the presence of free air within the peritoneal cavity and indicates perforation of a hollow viscus. However, it may also occur in the absence of perforation and in this case, it is called spontaneous pneumoperitoneum (SP). A 57-year-old female patient who was intubated and mechanically ventilated due to respiratory failure developed abdominal compartment syndrome (ACS) secondary to massive SP. Peritoneal lavage was performed for the patient both to achieve decompression and to support the diagnosis. Many surgeons proceed with laparotomy as a reflex response for SP due to lack of awareness of the condition. However, laparotomy has no place in this setting. SP coexisting with ACS is extremely rare.With this case report, we aimed to raise awareness of SP among physicians and help avoid unnecessary laparotomies.

🔖

Cite This Article

Topuz, S. (2022). Bedside decompression of abdominal compartment syndrome caused by spontaneous pneumoperitoneum: A case report. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 10, 1534–1537. https://ajindex.com/articles/644030

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Williams NM, Watkin DF. Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas. Postgrad Med J 1997;73:531–7
  2. Gantt CB, Daniel WW, Hallenbeck GA. Nonsurgical pneumoperitone- um. Am J Surg 1977;134:411–4. 3. Čečka F, Sotona O, Šubrt Z. How to distinguish between surgical and non-surgical pneumoperitoneum. Signa Vitae 2014;9:1–7
  3. Zeyneloğlu P. Abdominal compartment syndrome. Turkish Society of Intensive Care 2015;13:5–15
  4. Bozan MB, Ayten R, Bülbüller N, Camcı C, Aygen E, İlhan N, et al. The diagnostic efficacy of some ischemic markers (urotensin II and uroten- sin II related peptide) in early diagnosis of intestinal ischemia in exper- imentally increased intraabdominal pressure in rats. Annals Med Res 2019;29:1415–9
  5. Şen M, Akkurt G, Akpinar A, Sürgit Ö, Bozer M. A case with mas- sive pneumoperitoneum due to mechanical ventilation. Bakırköy Med J 2009;5:113–6
  6. Chandler JG, Berk RN, Golden GT. Misleading pneumoperitoneum. Surg Gynecol Obstet 1977;144:163–74
  7. Ayana O, Atsunori N, Kenichi M, Taihei Y, Takaaki O, Hiroyuki S, et al. Non-surgical pneumoperitoneum associated with mechanical ventilation. Acute Med Surg 2014;1:254–55
  8. Ahmed K, Amine EM, Abdelbaki A, Jihene A, Khaoula M, Yamina H, et al. Airway management: Induced tension pneumoperitoneum. Pan Afr Med J 2016;25:125
  9. Nielsen KT, Lund L, Larsen LP, Knudsen P. Duration of postoperative pneumoperitoneum. Eur J Surg 1997;163:501–3
  10. Gayer G, Jonas T, Apter S, Amitai M, Shabtai M, Hertz M. Postoperative pneumoperitoneum as detected by CT: Prevalence, duration, and relevant factors affecting its possible significance. Abdom Imaging 2000;25:301– 5
  11. Mularski RA, Ciccolo ML, Rappaport WD. Nonsurgical causes of pneu- moperitoneum. West J Med 1999;170:41–6
  12. Mularski RA, Sippel JM, Osborne ML. Pneumoperitoneum: A review of nonsurgical causes. Crit Care Med 2000;28:2638–44
  13. Üçbilek E, Oğuz D, Sezgin O. İntraabdominal hipertansiyon ve abdomi- nal kompartiman sendromu. Güncel Gastroenterol 2015;19:112–7
  14. Critchley LA, Rowbottom S. Fatal tension pneumoperitoneum with pneumothorax. Anaesth Intensive Care 1994;22:298–9.