Pneumoperitoneum Associated with Pneumomediastinum, Pneumothorax, Subcutaneous Empysema during Intubation and Positive Ventilation.
- Author:
Ki Ok AHN
1
;
Yong Joo LEE
Author Information
1. Department of Emergency Medicine, Seoul Adventist Hospital. arent1975@hanmail.net
- Publication Type:Case Report
- Keywords:
Pneumoperitoneum;
Pneumothorax;
Pneumomediastinum;
Intubation;
Ventilation
- MeSH:
Humans;
Intubation*;
Mediastinal Emphysema*;
Middle Aged;
Physical Examination;
Pneumoperitoneum*;
Pneumothorax*;
Subcutaneous Emphysema;
Thorax;
Ventilation*
- From:Journal of the Korean Society of Emergency Medicine
2005;16(1):214-217
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumoperitoneum associated with a pneumothorax, pneumomediastinum, and subcutaneous emphysema during intubation and positive ventilation has rarely been reported. In general, such a pneumoperitoneum requires conservative treatment; therefore, it should be distinguished from pneumoperitoneum associated with a hollow viscus perforation. Our case involved a 47-year-old man treated with intubation and positive ventilation for the maintenance of airway patency. Not only a pneumothorax, pneumomediastinum and subcutaneous emphysema but also free intra-abdominal gas was observed on the chest X-ray. No evidence of a hollow viscus perforation was found on physical examination and the upper gastrointestinal series. The patient was treated conservatively for 10 days; then, the pneumoperitoneum, the pneumothorax, the pnenumomediastinum, and the subcutaneous emphysema disappeared. In this report, we reviewed the clinical significance and the anatomical relation of pneumoperitoneum associated with a pneumothorax, pneumomediastinum, and subcutaneous emphysema.
