publication . Article . 2015

Fatal Tension Pneumoperitoneum Due to Non-Accidental Trauma

Thornton, Stephen L; Scott, Mark; Hunter, Jeremy;
Open Access English
  • Published: 01 Oct 2015 Journal: Western Journal of Emergency Medicine, volume 16, issue 5, pages 788-789 (issn: 1936-900X, eissn: 1936-9018, Copyright policy)
  • Publisher: eScholarship Publishing, University of California
Abstract
A previously healthy two-year-old boy presented to the emergency department with vomiting. He was cyanotic with mottling of both lower extremities. He was in respiratory distress with retractions and diminished breath sounds. His abdomen was distended and rigid. He had a pulse of 170 beats per minute, blood pressure of 144/69mmHg and respiratory rate of 42 breaths per minute. He was endotracheally intubated. Chest and abdominal radiographs demonstrated a tension pneumoperitoneum.
Subjects
mesheuropmc: body regionsdigestive, oral, and skin physiology
free text keywords: R, tension pneumoperitoneum, Medicine, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9, Diagnostic Acumen, non-accidental trauma, pediatric, Images in Emergency Medicine
Related Organizations

O’Hanlon, KP. Gastric rupture with pneumoperitoneum after mouth-to-nose breathing in an infant. J Emerg Med. 2010; 39 (3): 312-5 [PubMed]

Fallon, SC, Kim, ES, Naik-Mathuria, BJ. Needle decompression to avoid tension pneumoperitoneum and hemodynamic compromise after pneumatic reduction of pediatric intussusception. Pediatr Radiol. 2013; 43 (6): 662-7 [PubMed]

Hughes, DB, Judge, TN, Spigland, NA. Tension pneumoperitoneum in a child resulting from high-frequency oscillatory ventilation: a case report and review of the literature. J Pediatr Surg. 2012; 47 (2): 397-9 [PubMed]

Chiapponi, C, Stocker, U, Körner, M. Emergency percutaneous needle decompression for tension pneumoperitoneum. BMC Gastroenterol. 2011; 11: 48 [OpenAIRE] [PubMed]

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publication . Article . 2015

Fatal Tension Pneumoperitoneum Due to Non-Accidental Trauma

Thornton, Stephen L; Scott, Mark; Hunter, Jeremy;