Tension pneumoperitoneum in a child resulting from high-frequency oscillatory ventilation: a case report and review of the literature.

Abstract:

:An 18-month-old male infant was placed on high-frequency oscillatory ventilation for profound hypoxemia and subsequently developed tension pneumoperitoneum. He underwent a bedside exploratory laparotomy for suspected perforated viscus. No intestinal perforation was identified, and a diagnosis of tension pneumoperitoneum secondary to pneumatosis cystoides intestinalis was made. To our knowledge, this is the only report of a pediatric patient developing tension pneumoperitoneum from high-frequency oscillatory ventilation. A review of the literature examines the differential diagnosis, physiology, and treatment of tension pneumoperitoneum.

journal_name

J Pediatr Surg

authors

Hughes DB,Judge TN,Spigland NA

doi

10.1016/j.jpedsurg.2011.10.060

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

397-9

issue

2

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(11)00945-6

journal_volume

47

pub_type

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