A Case of Severe Asthma Complicated with Pneumoperitoneum and Pneumomediastinum During AMBU Ventilation.
10.4046/trd.2001.51.6.585
- Author:
Hoon CHO
;
Byoung Moon CHOI
;
Ho Kyoung JUNG
;
Ja Young PARK
;
Byoung Il JANG
;
Mi Ok SUNWOO
;
Chan Hee SEO
;
Han Dong SUNG
;
Mi Jeong SIN
;
Soon Chul HWANG
- Publication Type:Case Report
- Keywords:
Pneumoperitoneum;
Pneumomediastinum;
Severe Asthma;
AMBU ventilation
- MeSH:
Abdomen;
Adult;
Asthma*;
Female;
Humans;
Incidence;
Intubation, Intratracheal;
Masks;
Mediastinal Emphysema*;
Mediastinum;
Peritoneal Cavity;
Pneumoperitoneum*;
Pneumothorax;
Respiration, Artificial;
Subcutaneous Emphysema;
United Nations;
Ventilation*
- From:Tuberculosis and Respiratory Diseases
2001;51(6):585-589
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumoperitoneum, Pneumomediastinum, subcutaneous emphysema and a pneumothorax are some of the mechanical complications of bronchial asthma. The incidence of pneumoperitoneum during an attack of acute asthma is rare. The pathogenesis is free gas track from the overdistended alveoli, through the bronchovascular sheaths to the mediastinum. If the high pressure is maintained, air can escape retroperitoneally into the abdomen and burst into the peritoneal cavity. A 43-year-old woman was admitted due to a severe asthma attack. She was required endotracheal intubation and AMBU(air mask bag unit) ventilation. Immediately after these procedures, pneumoperiotneum, pneumomediastinum, and subcutaneous emphysema daveloped. She was treated with mechanical ventilation and medical therapy. The pneumoperitoneum was resolved after 27 days. Here, we report this case with the review of the relevant literature.
