|
|
Journal of The Korean Society of Emergency Medicine 2005;16(1): 214-217. |
| Pneumoperitoneum Associated with Pneumomediastinum, Pneumothorax, Subcutaneous Empysema during Intubation and Positive Ventilation |
| Ki Ok Ahn, Yong Joo Lee |
| Department of Emergency Medicine, Seoul Adventist Hospital. arent1975@hanmail.net |
|
|
|
|
|
| ABSTRACT |
|
Pneumoperitoneum associated with a pneumothorax, pneumomediastinum, and subcutaneous emphysema during intubation and positive ventilation has rarely been reported. In general, such a pneumoperitoneum requires conservative treatment; therefore, it should be distinguished from pneumoperitoneum associated with a hollow viscus perforation. Our case involved a 47-year-old man treated with intubation and positive ventilation for the maintenance of airway patency. Not only a pneumothorax, pneumomediastinum and subcutaneous emphysema but also free intra-abdominal gas was observed on the chest X-ray. No evidence of a hollow viscus perforation was found on physical examination and the upper gastrointestinal series.
The patient was treated conservatively for 10 days; then, the pneumoperitoneum, the pneumothorax, the pnenumomediastinum, and the subcutaneous emphysema disappeared. In this report, we reviewed the clinical significance and the anatomical relation of pneumoperitoneum associated with a pneumothorax, pneumomediastinum, and subcutaneous emphysema. |
| Key words:
Pneumoperitoneum, Pneumothorax, Pneumomediastinum, Intubation, Ventilation |
|
|
|
PDF Links
Full text via DOI 
Download Citation 
