Tension pneumoperitoneum during pneumatic reduction of pediatric intussusception: case report
Journal of the Korean Society of Emergency Medicine
; : 385-389, 2018.
Article
in Ko
| WPRIM
| ID: wpr-716389
Responsible library:
WPRO
ABSTRACT
This paper presents a case report of tension pneumoperitoneum that occurred in a 4-month-old girl with intussusception during pneumatic reduction. Tension pneumoperitoneum is a rare but life threatening complication in air pressure enema that is commonly used to turn the intussuscepted bowel to its original position. The incidence of a simple pneumoperitoneum due to a bowel perforation associated with attempted pneumatic reduction for intussusception is as high as 4%. The simple pneumoperitoneum changed rapidly to tension pneumoperitoneum and immediate needle decompression was life-saving in this case. Similar to a tension pneumothorax, the diagnosis is clinical and management should not be delayed awaiting other confirmatory tests. The emergency physician must recognize this rare complication of pneumatic reduction and promptly treat the ensuing tension pneumoperitoneum after bowel perforation with immediate needle decompression as a part of the initial resuscitation.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pneumoperitoneum
/
Pneumothorax
/
Resuscitation
/
Incidence
/
Decompression
/
Diagnosis
/
Air Pressure
/
Emergencies
/
Enema
/
Intussusception
Type of study:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Infant
Language:
Ko
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2018
Type:
Article