A Case of Pneumoperitoneum After Mechanical Ventilation in A Child with Severe Bronchial Asthma.
- Author:
Seung Man CHO
1
;
Sung Wan HONG
;
Seong Hun LEE
;
Cheol Ju JUNG
;
Dong Jin LEE
Author Information
1. Department of Pediatrics, Ulsan Dong Kang General Hospital, Ulsan, Korea. djleekr@hanmail.net
- Publication Type:Case Report
- Keywords:
Pneumoperitoneum;
Asthma;
Mechanical ventilation
- MeSH:
Asthma*;
Barotrauma;
Child*;
Humans;
Intestinal Perforation;
Lung;
Masks;
Paralysis;
Pneumoperitoneum*;
Respiration, Artificial*;
Rupture;
Ventilation
- From:Pediatric Allergy and Respiratory Disease
2005;15(2):186-192
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Massive pneumopritoneum developing immediately following initiation of artificial ventilation is an unusual sign of lung barotrauma and must be distinguished from pneumoperitoneum following rupture of a hollow abdominal viscus. Besides, pneumoperitoneum occurring in a mechanically ventilated asthmatic patient can present a diagnostic dilemma as the usual signs of an intestinal perforation may be masked by steroid therapy, sedation or paralysis, or combination of all three. We report a case of massive pneumoperitoneum after initiation of mechanical ventilation in a child with severe asthmatic attack.
