Tension pneumoperitoneum in a child resulting from high-frequency oscillatory ventilation: a case report and review of the literature

Abstract An 18-month-old male infant was placed on high-frequency oscillatory ventilation for profound hypoxemia and subsequently developed tension pneumoperitoneum. He underwent a bedside exploratory laparotomy for suspected perforated viscous. No intestinal perforation was identified, and a diagno...

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Bibliographic Details
Published in:	Journal of pediatric surgery Vol. 47; no. 2; pp. 397 - 399
Main Authors:	Hughes, Duncan B, Judge, Tanya N, Spigland, Nitsana A
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-02-2012
Subjects:	Abdominal compartment syndrome Age of Onset Bronchopulmonary Dysplasia - complications Bronchopulmonary Dysplasia - therapy Diagnosis, Differential Ductus Arteriosus, Patent - complications High-frequency oscillatory ventilation High-Frequency Ventilation - adverse effects Humans Hypertension, Pulmonary - etiology Hypoxia - therapy Infant Infant, Newborn Infant, Premature Infant, Premature, Diseases - surgery Infant, Premature, Diseases - therapy Intestinal Perforation - diagnosis Intra-Abdominal Hypertension - etiology Laparotomy Male Mediastinal Emphysema - etiology Pediatrics Pneumatosis cystoides intestinalis Pneumatosis Cystoides Intestinalis - diagnosis Pneumatosis Cystoides Intestinalis - epidemiology Pneumatosis Cystoides Intestinalis - etiology Pneumoperitoneum - diagnosis Pneumoperitoneum - etiology Pneumoperitoneum - physiopathology Pressure - adverse effects Respiratory Distress Syndrome, Newborn - complications Respiratory Distress Syndrome, Newborn - therapy Retinopathy of Prematurity - complications Rupture, Spontaneous Surgery Tension pneumoperitoneum Tension pneumoperitoneum Abdominal compartment syndrome Pneumatosis cystoides intestinalis High-frequency oscillatory ventilation
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Summary:	Abstract An 18-month-old male infant was placed on high-frequency oscillatory ventilation for profound hypoxemia and subsequently developed tension pneumoperitoneum. He underwent a bedside exploratory laparotomy for suspected perforated viscous. No intestinal perforation was identified, and a diagnosis of tension pneumoperitoneum secondary to pneumatosis cystoides intestinalis was made. To our knowledge, this is the only report of a pediatric patient developing tension pneumoperitoneum from high-frequency oscillatory ventilation. A review of the literature examines the differential diagnosis, physiology, and treatment of tension pneumoperitoneum.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0022-3468 1531-5037
DOI:	10.1016/j.jpedsurg.2011.10.060