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Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy
- Source :
- Journal of the Formosan Medical Association, Vol 105, Iss 5, Pp 431-433 (2006)
- Publication Year :
- 2006
- Publisher :
- Elsevier BV, 2006.
-
Abstract
- Tension pneumoperitoneum is a potentially lethal complication of numerous iatrogenic procedures, including upper gastrointestinal (UGI) endoscopy. We report a 69-year-old man with UGI bleeding who developed tension pneumoperitoneum and cardiac arrest after UGI endoscopy. He was successfully resuscitated with needle decompression. Emergency surgery revealed a perforated gastric ulcer, and subtotal gastrectomy with Billroth II anastomosis was performed. Recovery was smooth and he was discharged from the hospital 18 days later. Tension pneumoperitoneum should be suspected in all patients who develop circulatory collapse with acutely distended abdomen after UGI endoscopy. Early identification relies on a high index of suspicion. Prompt treatment with needle decompression should not be delayed for confirmatory radiography once the clinical diagnosis is made.
- Subjects :
- Male
medicine.medical_specialty
Circulatory collapse
Decompression
medicine.medical_treatment
Anastomosis
gastrointestinal endoscopy
Endoscopy, Gastrointestinal
Pneumoperitoneum
medicine
Humans
Aged
tension pneumoperitoneum
Billroth II
Medicine(all)
lcsh:R5-920
medicine.diagnostic_test
business.industry
General Medicine
perforated peptic ulcer
Decompression, Surgical
medicine.disease
Heart Arrest
Surgery
Endoscopy
body regions
medicine.anatomical_structure
Needles
Abdomen
lcsh:Medicine (General)
business
Complication
Subjects
Details
- ISSN :
- 09296646
- Volume :
- 105
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of the Formosan Medical Association
- Accession number :
- edsair.doi.dedup.....010a7326808172299e8ab8a5f515f0a5
- Full Text :
- https://doi.org/10.1016/s0929-6646(09)60142-x