Hemodynamic Shock Caused by Tension Pneumoperitoneum in a 5-Year-Old Girl

Pediatric Emergency Care
Marie-Sophie ZentarFrançois Angoulvant

Abstract

Tension pneumoperitoneum is a relatively rare occurrence in the pediatric population. However, tension pneumoperitoneum is associated with significant morbidity and mortality if it is not promptly diagnosed and treated. A 5-year-old girl was admitted to emergency department with abdominal pain. She was in shock, and the radiograph film of the abdomen revealed a voluminous tension pneumoperitoneum. Aggressive fluid challenges were performed in intensive care followed by urgent laparotomy. Primary abdominal compartment due to trapped gas caused a decreased venous return and visceral perfusion. In the absence of hemodynamic improvement after vascular filling, needle decompression was performed before surgery.

References

Nov 8, 2012·Annals of the Royal College of Surgeons of England·J BunniS M Higgs
May 16, 2013·Intensive Care Medicine·Andrew W KirkpatrickUNKNOWN Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome

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