Non-Surgical Pneumoperitoneum Complicating Mechanical Ventilation: (CTGH)- Lupine Publishers

Non-Surgical PneumoperitoneumComplicating Mechanical Ventilation by Youssef Motiaa in Current Trends in Gastroenterology and Hepatology in Lupine Publishers

The occurrence of a pneumoperitoneum is usually linked to intra-abdominal hollow-organ perforation and generally requires emergency abdominal surgery. In 5 to 15% of cases, the pneumoperitoneum is not related to organ perforation and could be caused by various aetiologies. Barotrauma secondary to either invasive or non invasive mechanical ventilation can cause a pneumomediastinum with air diffusion to retroperitoneum and peritoneal cavity with extensive subcutaneous emphysema. We present a case of a fifty-six-year-old patient with a permanent tracheostomy for oropharyngeal neoplasm, admitted to Intensive Care Unit (ICU) for severe pneumonia requiring mechanical ventilation leading to pneumoperitoneum and retropneumoperitoneum with extensive subcutaneous emphysema. We also discuss Investigations and management challenges for this patient.

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http://www.lupinepublishers.com/ctgh/abstracts/CTGH.MS.ID.000103.php