Publication:
Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: A case report

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Issued Date

2019

Resource Type

Article

File Type

application/pdf

ISSN

17521947

DOI

10.1186/s13256-019-2224-3

Other identifier(s)

2-s2.0-85071615855

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of Medical Case Reports. Vol 13, No.1 (2019)

Suggested Citation

Suwankeeree P., Jungkraisri S., Sookpotarom P., Vejchapipat P. Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: A case report. Journal of Medical Case Reports. Vol 13, No.1 (2019). doi:10.1186/s13256-019-2224-3 Retrieved from: https://hdl.handle.net/20.500.14740/5183

Title

Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: A case report

Author(s)

Suwankeeree P.
 Jungkraisri S.
 Sookpotarom P.
 Vejchapipat P.

Abstract

Background: We reported a case with tension pneumoperitoneum while being on high-frequency oscillatory ventilation. Case presentation: A 12-month-old Thai girl presented with acute respiratory distress syndrome, septic shock, and bacterial pneumonia. Although supported with mechanical ventilation, she still had severe hypoxia. She was then transitioned to high-frequency oscillatory ventilation. During a weaning period on day 7, she developed left tension pneumothorax requiring intercostal drainage and a markedly large amount of pneumoperitoneum. In spite of a bedside abdominocentesis, her abdomen was still tense and her hemodynamics was unstable. Subsequently, to exclude hollow viscus perforation, diaphragmatic injury caused by intercostal drainage, or abdominal compartment syndrome, she was transferred for surgery. There was no intestinal perforation. Postoperatively, she was on oxygen therapy, on chest physical therapy, and kept hemodynamically stable until she had recovered. Conclusion: A case of tension pneumoperitoneum probably caused by high-frequency oscillatory ventilation was reported. Awareness of this condition should be included in the differential diagnosis. © 2019 The Author(s).

Subject(s)

Adult respiratory distress syndrome
 Article
 Artificial ventilation
 Bacterial pneumonia
 Breathing exercise
 Case report
 Child
 Clinical article
 Clinical feature
 Coughing
 Cyanosis
 Disease severity
 Drowsiness
 Dyspnea
 Emphysema
 Female
 Fever
 Follow up
 Gastroschisis
 High frequency oscillatory ventilation
 Human
 Hypoxia
 Intraabdominal soft tissue emphysema
 Oxygen therapy
 Pneumomediastinum
 Pneumoperitoneum
 Postoperative period
 Preschool child
 Priority journal
 Septic shock
 Tension pneumoperitoneum
 Tension pneumothorax
 Thorax drainage
 Adverse event
 High frequency ventilation
 Infant
 Pneumomediastinum
 Pneumoperitoneum
 Pneumothorax
 Ventilator weaning
 Female
 High-Frequency Ventilation
 Humans
 Infant
 Mediastinal Emphysema
 Pneumoperitoneum
 Pneumothorax
 Ventilator Weaning

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URI

https://hdl.handle.net/20.500.14740/5183

Collections

Scopus: Year 1983-2021

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