METHODS: We present a case report where an 86-year-old male was diagnosed with large volume pneumoperitoneum with compression of the inferior vena cava and intra-abdominal hollow and solid organs due to a suspected splenic flexure perforation in the setting of an acute colonic pseudo-obstruction that was able to be successfully managed solely with bedside needle decompression.
UNASSIGNED: Large volume pneumoperitoneum and tension physiology requires early diagnosis and prompt intervention. Patients are often critically ill and require major abdominal surgery if secondary to gastrointestinal perforation.
CONCLUSIONS: Select patients and clinical presentations of tension pneumoperitoneum can be managed successfully with bedside needle decompression if diagnosis and intervention is prompt.
方法:我们提供了一个病例报告,其中一名86岁的男性被诊断为大容量气腹,并在急性结肠假性梗阻的情况下,由于怀疑脾曲穿孔而导致下腔静脉和腹内中空和实性器官受压,仅通过床边针减压即可成功治疗。
■大容量气腹和张力生理需要早期诊断和及时干预。患者通常病情危重,如果继发于胃肠道穿孔,则需要进行大的腹部手术。
结论:选择患者和临床表现张力性气腹,如果诊断和干预迅速,床旁针减压可以成功处理。