Document Detail

Tension pneumoperitoneum in a child resulting from high-frequency oscillatory ventilation: a case report and review of the literature.
MedLine Citation:
PMID:  22325400     Owner:  NLM     Status:  MEDLINE    
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.
Duncan B Hughes; Tanya N Judge; Nitsana A Spigland
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  47     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-13     Completed Date:  2012-06-28     Revised Date:  2012-11-07    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  397-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Division of General Surgery, Department of Surgery, Weill Cornell Medical College, New York, NY 10021, USA.
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MeSH Terms
Age of Onset
Anoxia / therapy
Bronchopulmonary Dysplasia / complications,  therapy
Diagnosis, Differential
Ductus Arteriosus, Patent / complications
High-Frequency Ventilation / adverse effects*
Hypertension, Pulmonary / etiology
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / surgery,  therapy
Intestinal Perforation / diagnosis
Intra-Abdominal Hypertension / etiology*
Mediastinal Emphysema / etiology
Pneumatosis Cystoides Intestinalis / diagnosis,  epidemiology,  etiology*
Pneumoperitoneum / diagnosis,  etiology*,  physiopathology
Pressure / adverse effects
Respiratory Distress Syndrome, Newborn / complications,  therapy
Retinopathy of Prematurity / complications
Rupture, Spontaneous
Comment In:
J Pediatr Surg. 2012 Sep;47(9):1784-5; author reply 1785   [PMID:  22974626 ]

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