PDF(Pubmed)
Abstract：
UNASSIGNED: Pneumoperitoneum is a well-known consequence of gastrointestinal perforations but can also be a consequence of medical diseases such as asthma exacerbations or interventions such as mechanical ventilation. Tension pneumoperitoneum is a rare, life-threatening form of large volume pneumoperitoneum that can cause cardiovascular and respiratory compromise due to increased intra-abdominal pressure.
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.
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.
摘要：
气腹是众所周知的胃肠道穿孔的后果，但也可能是医学疾病如哮喘恶化或干预如机械通气的后果。紧张气腹是一种罕见的，大量气腹危及生命，可因腹内压升高而引起心血管和呼吸损害。
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。
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。
