Document Detail

Gastric rupture with pneumoperitoneum after mouth-to-nose breathing in an infant.
MedLine Citation:
PMID:  19201129     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Gastric rupture with resulting tension pneumoperitoneum occurs rarely in infants. It may be associated with resuscitative efforts.
OBJECTIVES: This report presents a unique case of gastric rupture and illustrates the factors necessary for prompt recognition and treatment.
CASE REPORT: The patient was a 16-week-old infant with nasal congestion whose father had attempted to clear her nose by a mouth-to-mouth-and-nose maneuver. The alert and attentive patient presented to the Emergency Department in respiratory distress, with marked abdominal distention. She was diagnosed with a massive tension pneumoperitoneum, which was decompressed by needle aspiration. A laceration of the lesser curvature of the stomach was repaired at laparotomy; the patient recovered uneventfully.
CONCLUSION: Tension pneumoperitoneum is rarely seen but has key defining elements. A simple procedure is critical to relief of the condition.
Katherine P O'Hanlon
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-02-06
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  39     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  312-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York 14642, USA.
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MeSH Terms
Insufflation / adverse effects*
Pneumoperitoneum / diagnosis,  etiology*,  therapy
Stomach Rupture / diagnosis,  etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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