Document Detail

Concurrent infantile pneumomediastinum and pneumoperitoneum.
MedLine Citation:
PMID:  18283146     Owner:  NLM     Status:  MEDLINE    
Pneumomediastinum in an infant is uncommon, and most literature on the subject is anecdotal or retrospective. Concurrent pneumomediastinum and pneumoperitoneum in an infant is even more unusual. We report the case of a 7-month-old infant with long-chain acyl-coenzyme A dehydrogenase deficiency who was admitted to the hospital because of respiratory failure and in whom radiographs revealed simultaneous pneumomediastinum and pneumoperitoneum. Benign findings at the abdominal examination and the presence of pneumomediastinum in the setting of assisted mechanical ventilation led to the diagnosis of air dissection syndrome. We review the radiographic findings associated with air dissection syndrome and discuss the management of concurrent nonsurgical pneumomediastinum and pneumoperitoneum in an infant.
Meghan A Arnold; Kyaw S Mon; Fizan Abdullah
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  143     ISSN:  1538-3644     ISO Abbreviation:  Arch Surg     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-19     Completed Date:  2008-03-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  197-9     Citation Subset:  AIM; IM    
Department of Surgery, The Johns Hopkins Hospital, 600 N Wolfe St, Harvey Bldg, Room 319, Baltimore, MD 21287, USA.
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MeSH Terms
Follow-Up Studies
Mediastinal Emphysema / complications*,  radiography,  therapy
Pneumoperitoneum / complications*,  radiography,  therapy
Radiography, Thoracic
Respiration, Artificial / methods
Respiratory Insufficiency / etiology*,  physiopathology,  therapy
Risk Assessment
Severity of Illness Index
Grant Support

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