Non-Surgical Pneumoperitoneum Complicating Mechanical Ventilation
Journal Title: Current Trends in Gastroenterology and Hepatology - Year 2018, Vol 1, Issue 1
Abstract
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.
Authors and Affiliations
Youssef Motiaa, EL Otmani Wafae, Nadia Boutayeb, Brahim Elahmadi, Abdelilah Ghannam, Zakaria Houssein Belkhadir Belkhadir
Keywords
Related Articles
- EP ID EP567446
- DOI 10.32474/CTGH.2018.01.000103
- Views 84
- Downloads 0
Hygiene and Dietary Measures in the Treatment of Type 2 Diabetes Population of Chief Region (Algeria)
Diabetes mellitus is a chronic, sometimes silent disease that exposes cardio-vascular morbidities by its micro and macroangiopathic complications with heavy socio-economic repercussions. Strategies of various kinds are p...
Description of Plasma Concentrations of Free Amino Acids with Some Clinical Symptoms of Patients Under 5 with Short Bowel Syndrome
Amino acid (AA) is the main component of proteins. Changes in levels of plasma AA concentration have been mentioned in some cases such as plasma AA concentrations in chronic kidney disease (CKD) patients are low when inf...
Reproductive Health and Fertility in Transition Clinic for Liver Transplant Patients
The transition of an adolescent into adulthood is fraught with complexity under the best of circumstances. Misinformation or a lack of medical knowledge during this critical time can place young adults in a position to d...
The Current Approach to the Hepatocellular Carcinoma; A Mini Review of Etiology, Prognosis and Treatment
Hepatocellular carcinoma (HCC) is the most common liver malignancy worldwide and is one of the major causes of cancerrelated deaths. HCC is reported to be the second most fatal malignancy. The major risk factors for HCC...
Over View of Gastro Intestinal Diseases in UAE
One fifth of the population in UAE suffers from gastrointestinal diseases including obesity, reflux disease and fatty liver because of obesity, poor diets and close marriage, Acid reflux, ulcerative colitis and irritable...