Tension pneumoperitoneum: Case report of a rare form of acute abdominal compartment syndrome.

Tension pneumoperitoneum: Case report of a rare form of acute abdominal compartment syndrome.

Int J Surg Case Rep. 2019 Jan 29;55:112-116

Authors: Cadena M, Solano J, Caycedo N, Gomez D, Vinck EE, Quiroga P, Gaete P

Abstract
INTRODUCTION: Tension pneumoperitoneum is a severe and rare form of pneumoperitoneum with concomitant hemodynamic instability and respiratory failure. It is a variant of abdominal compartment syndrome (ACS) causing an abrupt increase in intra-abdominal pressure.
PRESENTATION OF CASE: We present a case of pneumoperitoneum, after an endoscopic mucosal resection with the development of ACS. The patient was successfully treated with percutaneous decompression.
DISCUSSION: Decompressive laparotomy is the first treatment option for both most forms of pneumoperitoneum and ACS; nevertheless, this issue is controversial. Recent reports have shown that some patients may be candidates for a minimally invasive catheter decompression avoiding major decompressive surgery. Identifying these patients is vital to avoiding unnecessary surgeries.
CONCLUSIONS: Tension pneumoperitoneum is a life-threatening event, early detection and intervention is critical in order to provide prompt and optimal treatment approaches.

PMID: 30716704 [PubMed - as supplied by publisher]

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