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Journal of The Korean Society of Emergency Medicine 2018;29(4): 385-389. |
| 장겹침증 환아에게 공기 정복술 후 발생한 긴장성 공기 복강증 1례 |
김미진, 김동빈, 홍정석
, 정진영 |
| 울산대학교병원 권역응급의료센터 응급의학과 |
| Tension pneumoperitoneum during pneumatic reduction of pediatric intussusception: case report |
| Mi Jin Kim, Dong Bin Kim, Jung Seok Hong
, Jin Young Jeong |
| Department of Emergency Medicine, University of Ulsan College of Medicine, Pediatric Emergency Room, Regional Emergency Center, Ulsan University Hospital, Ulsan, Korea |
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Received: December 4, 2017; Revised: June 21, 2018 Accepted: June 24, 2018. Published online: August 31, 2018. |
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| ABSTRACT |
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This paper presents a case report of tension pneumoperitoneum that occurred in a 4-month-old girl with intussusception during pneumatic reduction. Tension pneumoperitoneum is a rare but life threatening complication in air pressure enema that is commonly used to turn the intussuscepted bowel to its original position. The incidence of a simple pneumoperitoneum due to a bowel perforation associated with attempted pneumatic reduction for intussusception is as high as 4%. The simple pneumoperitoneum changed rapidly to tension pneumoperitoneum and immediate needle decompression was life-saving in this case. Similar to a tension pneumothorax, the diagnosis is clinical and management should not be delayed awaiting other confirmatory tests. The emergency physician must recognize this rare complication of pneumatic reduction and promptly treat the ensuing tension pneumoperitoneum after bowel perforation with immediate needle decompression as a part of the initial resuscitation. |
| Key words:
Intussusception; Pneumoperitoneum; Reduction |
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