Tension pneumoperitoneum in a child as complication of high frequency oscillatory ventilation: A case report

Pneumoperitoneum is most often secondary to a perforated hollow viscous mandating urgent surgical intervention. Pneumoperitoneum as a life-threatening complication of mechanical ventilation is rarely reported and presents a diagnostic and therapeutic challenge. Here, we report an 18-month old boy wh...

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Bibliographic Details
Main Authors: Mounika V Reddy, Arun Baranwal, Muralidharan Jayashree
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Pediatric Critical Care
Subjects:
Online Access:http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2019;volume=6;issue=6;spage=33;epage=35;aulast=Reddy
Description
Summary:Pneumoperitoneum is most often secondary to a perforated hollow viscous mandating urgent surgical intervention. Pneumoperitoneum as a life-threatening complication of mechanical ventilation is rarely reported and presents a diagnostic and therapeutic challenge. Here, we report an 18-month old boy who developed tension pneumoperitoneum and abdominal compartment syndrome as complication of high frequency oscillatory ventilation, and was managed with percutaneous needle paracentesis. Awareness and thus early recognition of this rare complication of mechanical ventilation may help avoid needless laparotomy, and its associated morbidity.
ISSN:2349-6592
2455-7099