Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy
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 resuscit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2006-01-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S092966460960142X |
| _version_ | 1819150569558769664 |
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| author | Tsung-Chien Lu Shey-Ying Chen Hsiu-Po Wang Chien-Chang Lee Shyr-Chyr Chen |
| author_facet | Tsung-Chien Lu Shey-Ying Chen Hsiu-Po Wang Chien-Chang Lee Shyr-Chyr Chen |
| author_sort | Tsung-Chien Lu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T14:19:35Z |
| format | Article |
| id | doaj.art-5c8d7927c6894233baf56961bcdb1ab7 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-22T14:19:35Z |
| publishDate | 2006-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-5c8d7927c6894233baf56961bcdb1ab72022-12-21T18:23:00ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-01105543143310.1016/S0929-6646(09)60142-XTension Pneumoperitoneum Following Upper Gastrointestinal EndoscopyTsung-Chien LuShey-Ying ChenHsiu-Po WangChien-Chang LeeShyr-Chyr ChenTension 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.http://www.sciencedirect.com/science/article/pii/S092966460960142Xgastrointestinal endoscopyperforated peptic ulcertension pneumoperitoneum |
| spellingShingle | Tsung-Chien Lu Shey-Ying Chen Hsiu-Po Wang Chien-Chang Lee Shyr-Chyr Chen Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy Journal of the Formosan Medical Association gastrointestinal endoscopy perforated peptic ulcer tension pneumoperitoneum |
| title | Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy |
| title_full | Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy |
| title_fullStr | Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy |
| title_full_unstemmed | Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy |
| title_short | Tension Pneumoperitoneum Following Upper Gastrointestinal Endoscopy |
| title_sort | tension pneumoperitoneum following upper gastrointestinal endoscopy |
| topic | gastrointestinal endoscopy perforated peptic ulcer tension pneumoperitoneum |
| url | http://www.sciencedirect.com/science/article/pii/S092966460960142X |
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