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Delayed pneumoperitoneum following traumatic haemopneumothorax. A case report.

An unusual case of delayed pneumoperitoneum following a penetrating wound of the chest is presented. The mechanism of pneumoperitoneum, the diagnostic dilemma of injury to the abdomen in penetrating wounds of the lower chest, and the alternative methods used in achieving early diagnosis of diaphragmatic penetration are discussed.

Pneumoperitoneum induced ischemia-reperfusion injury of the peritoneum - Preconditioning may reduce the negative side-effects caused by carbon-dioxide pneumoperitoneum - Pilot study.

INTRODUCTION: Laparoscopy is more beneficial than the conventional open technique, however the pneumoperitoneum created may have an ischemic side effect. OBJECTIVE: Our aim was to evaluate the protective effects of preconditioning during laparoscopic cholecystectomies (LC). METHODS: 30 patients were randomized into 2 groups: I. PreC (preconditioning: 5 min. inflation, 5 min. deflation, followed by conventional LC), II: LC (conventional LC). Blood samples were taken before hospitalization (C = control), before surgery, after anaesthesia (B.S.), after surgery (A.S.) and 24 hours after the proc…

When the abdomen misleads: Emphysematous pyelonephritis masquerading as pneumoperitoneum.

A presentation in septic shock with tense abdominal distension and left flank pain, combined with a plain radiograph showing massive subdiaphragmatic free air usually suggests perforation of a hollow viscus. A CT scan obtained before laparotomy was undertaken, showing gas destroying the left renal parenchyma with extension into the pararenal space and rupture through the posterior parietal peritoneum with an intact gastrointestinal tract. Laparotomy was thus avoided; pneumoperitoneum is not always gastrointestinal in origin.

Determinants of Pneumoperitoneum Duration During Laparoscopic Living-Donor Nephrectomy.

INTRODUCTION: Pure laparoscopic donor nephrectomy (LDN) and hand-assisted LDN (HALDN) are widely performed in living donor kidney transplant … ned with SHapley Additive exPlanations analysis was used to identify the predictors associated with pneumoperitoneum duration. RESULTS: The overall perioperative complication rate was low, and no mortality was observed. The pneumoperitoneum duration was significantly longer in the HALDN group than in the LDN group. SHapley Additive exPlanations analysis identifie …

Pneumoperitoneum Following Perineal Air Insufflation can be Managed Conservatively.

AIM: Closed treatment of atrophic mandible fractures often results in malunion, pseudoarthrosis and pain. Open reduction and rigid internal fixation (ORIF) is still indicated for displaced atrophic mandible fractures. The Authors report a treatment protocol that allows to gain the best results using reconstruction plates, autologous bone grafting and free fibula flap reconstruction when necessary. METHODS: Retrospective analysis of 15 patients with atrophic mandible fractures who underwent treatment between 2007 and 2011. 7 cases did not receive any treatment because of their general conditio

Computer-Aided Diagnosis of Pneumoperitoneum on Neonatal Abdominal Radiographs.

INTRODUCTION: Neonatal gastrointestinal perforation is a life-threatening condition that requires timely and accurate diagnosis. However, interpreting abdominal radiographs in this population is often challenging. In this study, we aimed to develop a deep convolutional neural network (DCNN) model to segment pneumoperitoneum on neonatal abdominal radiographs and to evaluate its potential to assist in detecting neonatal gastrointestinal perforation. METHODS: This multicenter retrospective study included 1,187 abdominal radiographs (181 perforation and 1,006 control images) from neonates with ga…

Endoscopy-induced complication of barotrauma with concomitant benign pneumoperitoneum.

Endoscopy is widely used for diagnostic and therapeutic purposes in modern clinical practice. Two of the less common complications are barotrauma and benign pneumoperitoneum. In isolation, these two complications have been successfully managed conservatively. We report a case of concomitant insufflation-induced complication of barotrauma and benign pneumoperitoneum following endoscopy on a 74-year-old female who was admitted for lower gastrointestinal (GIT) bleeding. A non-therapeutic laparotomy was performed, and she had an uneventful postoperative course. Although conservative management has…

Down the Wrong Pipe: Tension Pneumoperitoneum from Esophageal Intubation.

BACKGROUND: Tension pneumoperitoneum (TPP) is a rare but life-threatening pathology in which significant accumulation of free air in the peritoneum pressurizes the abdominal cavity, creating conditions similar to abdominal compartment syndrome. Due to compression of intra-abdominal vasculature, TPP results in hemodynamic instability. While it most commonly occurs due to viscus perforation in the setting of recent endoscopy, gastric perforation from resuscitative efforts can also lead to TPP. CASE REPORT: We present a case of a 58-year-old female who was intubated out-of-hospital for unrespons…

A Case of Pneumoperitoneum after Colonoscopy without Frank Perforation.

Benign pneumoperitoneum can happen after colonoscopy, which shows itself as free air in the abdomen without symptoms or pneumoperitoneum without peritonitis. In this case, we reported a rare case of an elderly man who had acute abdominal stiffness after colonoscopy and observation of free air under the diaphragm that no perforation was observed in the intestine during laparoscopy and only one tiny intestinal tumor was randomly reported. There is no consensus on the treatment of pneumoperitoneum after colonoscopy. Patients with peritonitis benefit from laparoscopy but patients with micro perfor…

An unusual, life-threatening complication of EBUS-TBNA: Pneumoperitoneum.

Endobronchial ultrasound-guided with transbronchial needle aspiration (EBUS-TBNA) is a safe procedure. We present an unusual life-threatening complication after EBUS-TBNA in a 43-year-old female. She underwent EBUS-TBNA for enlarged lymph nodes evaluation. After EBUS-TBNA, a progressively worsening abdominal distension was observed. In computed tomography, subcutaneous emphysema, bilateral pneumothorax, pneumomediastinum and pneumoperitoneum were detected. This complication was successfully treated with chest tube insertion and bedside abdominal decompression. Even though EBUS-TBNA is consider…

Asymptomatic pneumoperitoneum in pneumatosis coli: A misleading operative indication.

INTRODUCTION: Pneumatosis cystoides intestinalis (PCI) is a rare clinical pathology characterized by sub-mucosal and/or sub-serous cysts of free gas, forming cystic lesions usually ranging from 0.5 to 2.0 cm in size within the gastrointestinal tract. About 3% of patients with PCI develop complications such as pneumoperitoneum, intestinal volvulus, obstruction, or hemorrhage, these cases need immediate surgical intervention. Cyst rupture can produce peritoneal irritation and pneumoperitoneum. PRESENTATION OF CASE: A 65-years-old woman was admitted to the Emergency Department for epileptiform c…

Пнеумопетритонеум вторичное по сравнению с тубо-янтарским абсцессом: отчет по делу.

Пневмоперитонеум, наблюдаемый на рентгеновском или вычисленном томографическом (CT) образе, указывает на диагностику разрыва вискоза и требует немедленной хирургии. Случай абсцесса тубо- яичника (TOA), подаваемого пневмополитонеумом, является необычным. Было зарегистрировано очень мало случаев, когда пневмополитонум был вызван абсцессом, связанным с аднексой. Мы представляем случай с 17-летним пациентом, который подавал острый брюшной полости и поднимал подстрекательские маркеры и имел лапароскопию для предполагаемого перфорации кишечника на основе обнаружения пневмополитонеума на КТ. Перфорац

Совпадение в аннотации оригинала
Pneumoperitoneum seen on an X-ray or computed tomography (CT) image points to a diagnosis of ruptured viscus and immediate surgery is warranted. A case of tubo-ovarian abscess (TOA) presenting with pneumoperitoneum is unusual. Very few cases have been reported where the pneumoperitoneum is caused by an abscess involving the adnexa. We present the case of a 1…

Ruptured splenic abscess causing pneumoperitoneum: a rare cause revisited.

We present a case report of splenic abscess causing pneumoperitoneum in a case of uncontrolled diabetes. The patient presented with chronic pain abdomen and fever which later evolved to acute abdomen during the course of hospital stay. An X-ray showed pneumoperitoneum and exploratory laparotomy was performed under a strong clinical suspicion of hollow viscus perforation. The patient was treated with antibiotics and had an uneventful recovery.

Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum.

Hyperkalaemia with ECG changes had been noted during prolonged carbon dioxide pneumoperitoneum in pigs. We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly to either carbon dioxide pneumoperitoneum or abdominal wall lifting for laparoscopic colectomy. Despite an increasing metabolic acidosis, prolonged carbon dioxide pneumoperitoneum resulted in only a slight increase in plasma potassium concentrations, which was both statistically and clinically insig…