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J Korean Soc Emerg Med > Volume 23(5); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(5): 757-761.
A Case Report of Non-operative Management of Pneumoperitoneum after Bystander Cardiopulmonary Resuscitation
Kyung Won Lee
Department of Emergency Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea. emkwlee@dsmc.or.kr
We report on the case of a 66-year-old male patient who suffered a cardiac arrest in his home. At the scene, bystander cardiopulmonary resuscitation (CPR) was performed by his family. The 119 firefighter emergency medical technician arrived and subsequently performed CPR. After being transported to my hospital, he was successfully resuscitated. Through physical examination, his abdomen was found to be expanded and tympanic. A simple X-ray showed free air in his abdomen. After bystander CPR, we diagnosed pneumoperitoneum. Due to his hemodynamic stability and lack of peritoneal signs, a non-operative management was administered successfully. Non-operative management can be an alternative in selected pneumoperitoneum patients. We report on a case of non-operative management of a pneumoperitoneum after bystander CPR with a review of the literature.
Key words: Pneumoperitoneum, Bystander, Cardiopulmonary resuscitation
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