Pneumothorax With Pneumoperitoneum in a Newborn Infant

Aranda, Jacob V.

doi:10.1001/archpedi.1972.02110080141021

Cited by 23 publications

(5 citation statements)

References 17 publications

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“…In the present case it was initially thought that the air had travelled from the pleural space into the peritoneal cavity; this has been well recognized in children (Aranda et al, 1972;Donahue et al, 1972).…”

Section: Discussionmentioning

confidence: 60%

Tension pneumothorax from a perforated gastric ulcer

Nayak

Lawrence

1976

Journal of British Surgery

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Section: Discussionmentioning

confidence: 60%

Tension pneumothorax from a perforated gastric ulcer

Nayak

Lawrence

1976

Journal of British Surgery

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“…It can also pass through a posterolateral defect of the diaphragm secondary to arrest in the closure of pleuroperitoneal canal and diaphragmatic defects at the sternocostal and lumbocostal region as described by Leininger et al [ 9 ] in a case of tension pneumoperitoneum and pneumothorax in the newborn. Aranda [ 10 ] reported a neonate with hyaline membrane disease, bilateral intrapulmonary interstitial emphysema, bilateral tension pneumothorax, and massive pneumomediastinum who later developed pneumoperitoneum. Leonidas et al [ 11 ] identified 9 cases of pneumoperitoneum in 222 mechanically ventilated new born infants, 4 of whom had no apparent bowel perforation and two had negative laparotomy for rupture of intestine.…”

Section: Discussionmentioning

confidence: 99%

Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review

Gummalla

Mundakel

Agaronov

et al. 2017

Case Reports in Pediatrics

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Pneumoperitoneum in a preterm neonate usually indicates perforation of the intestine and is considered a surgical emergency. However, there are cases of pneumoperitoneum with no evidence of rupture of the intestine reported in the literature. We report a case of pneumoperitoneum with no intestinal perforation in a preterm neonate with respiratory distress syndrome who was on high frequency oscillatory ventilation (HFOV). He developed bilateral pulmonary interstitial emphysema with localized cystic lesion, likely localized pulmonary interstitial emphysema, and recurrent pneumothoraces. He was treated with dexamethasone to wean from the ventilator. Pneumoperitoneum developed in association with left sided pneumothorax following mechanical ventilation and cardiopulmonary resuscitation. Pneumoperitoneum resolved after the pneumothorax was resolved with chest tube drainage. He died from acute cardiorespiratory failure. At autopsy, there was no evidence of intestinal perforation. This case highlights the fact that pneumoperitoneum can develop secondary to pneumothorax and does not always indicate intestinal perforation or require exploratory laparotomy.

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“…In other instances of nonsurgical pneumoperitoneum have been reported, such as pneumoperitoneum secondary to mechanical ventilation and tension pneumothorax [7] . More recently, the relationship between pneumoperitoneum and respiratory diseases has been widely debated [8] , [9] , [10] .…”

Section: Discussionmentioning

confidence: 99%