Acta clinica Belgica · 2016
Spontaneous tension pneumoperitoneum presenting as an out of hospital cardiac arrest: A case report and review of the literature.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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De Smet Roel, De Paepe Peter, Buylaert Walter, Hachimi Idrissi Said
Аннотация
OBJECTIVES: It is known that tension pneumoperitoneum (TPP) can lead to cardiopulmonary arrest but it does not figure in the advanced life support algorithms. Therefore we discuss a case of TPP together with the literature review of its aetiology and treatment.
PATIENT: We describe an out of hospital cardiac arrest due to a spontaneous TPP secondary to a perforated duodenal ulcer.
CONCLUSION: Emergency personnel should consider the possibility of TPP in a patient with a distended abdomen and a cardiac arrest, even in the absence of known traumatic and iatrogenic causes for TPP. We believe that TPP should be added as a reversible cause for pulseless electrical activity in the resuscitation guidelines.
PATIENT: We describe an out of hospital cardiac arrest due to a spontaneous TPP secondary to a perforated duodenal ulcer.
CONCLUSION: Emergency personnel should consider the possibility of TPP in a patient with a distended abdomen and a cardiac arrest, even in the absence of known traumatic and iatrogenic causes for TPP. We believe that TPP should be added as a reversible cause for pulseless electrical activity in the resuscitation guidelines.