Details

Autor(en) / Beteiligte

• Zentar, Marie-Sophie
• Berteloot, Laureline
• Khen Dunlop, Naziha
• Bustarret, Olivier
• Pigneur, Bénédicte
• Cheron, Gérard
• Angoulvant, François

Titel

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

Ist Teil von

• Pediatric emergency care, 2018-06, Vol.34 (6), p.e102-e103

Ort / Verlag

United States: Copyright Wolters Kluwer Health, Inc. All rights reserved

Erscheinungsjahr

2018

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• ABSTRACTTension 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.