Spontaneous pneumoperitoneum in pediatric patients: A case series

Tallant, Caitlin; Tallant, Aaron; Nirgiotis, Jason G.; Meller, Janet L.

doi:10.1016/j.ijscr.2016.03.017

Cited by 8 publications

(10 citation statements)

References 16 publications

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“…There is a dilemma in the treatment of patients with spontaneous pneumoperitoneum. Many reported cases could be safely treated with non-surgical treatment by an awareness of this condition [7, 16, 17]. Our patient possessed some risks factors of non-surgical pneumoperitoneum, including infant period, ARDS with ventilatory support, and signs of barotrauma, for example, pneumothorax, pneumomediastinum, and subcutaneous emphysema.…”

Section: Discussionmentioning

confidence: 82%

Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: a case report

et al. 2019

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Background We reported a case with tension pneumoperitoneum while being on high-frequency oscillatory ventilation. Case presentation A 12-month-old Thai girl presented with acute respiratory distress syndrome, septic shock, and bacterial pneumonia. Although supported with mechanical ventilation, she still had severe hypoxia. She was then transitioned to high-frequency oscillatory ventilation. During a weaning period on day 7, she developed left tension pneumothorax requiring intercostal drainage and a markedly large amount of pneumoperitoneum. In spite of a bedside abdominocentesis, her abdomen was still tense and her hemodynamics was unstable. Subsequently, to exclude hollow viscus perforation, diaphragmatic injury caused by intercostal drainage, or abdominal compartment syndrome, she was transferred for surgery. There was no intestinal perforation. Postoperatively, she was on oxygen therapy, on chest physical therapy, and kept hemodynamically stable until she had recovered. Conclusion A case of tension pneumoperitoneum probably caused by high-frequency oscillatory ventilation was reported. Awareness of this condition should be included in the differential diagnosis.

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Section: Discussionmentioning

confidence: 82%

Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: a case report

et al. 2019

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“…2 Emphysematous cholecystitis, spontaneous bacterial peritonitis, liver abscess and PCI are etiologic factors for the development of intraabdominal SP. [1][2][3][5][6][7] As a characteristic feature of PCI, intramural gas filled cysts in the gastrointestinal tract are seen. If these cysts rupture into the intraabdominal cavity SP may occur.…”

Section: Discussionmentioning

confidence: 99%

“…Necrotizing enterocolitis, peptic ulcers, pyloric obstruction, intestinal obstruction, inflammatory bowel disease and connective disease may cause SP in childhood. 2,5,7 In the literature, there is one adult case report about SP related to PCI induced by constipation. 6 In the present case, there is no history of hospitalization, trauma, chronic disease, medications or surgery.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Pediatric Case with Spontaneous Pneumoperitoneum: Pneumatosis Cystoides Intestinalis Induced by Constipation

Ulusoy¹,

Aydın²,

Karakuş³

et al. 2021

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Pneumoperitoneum almost always indicates a perforation. However, perforation is not detected approximately 5% to 15% of all exploratory laparotomies and it is called spontaneous pneumoperitoneum (SP). One of the rare causes of SP is Pneumatosis cystoides intestinalis (PCI). An 11-year-old female patient was transferred to the pediatric emergency department due to suspicion of intestinal perforation. Erect abdominal X-ray revealed pneumoperitoneum below the right diaphragm. Emergent exploratory laparotomy was performed. No perforation was detected during exploratory laparotomy. Both the absence of fever, peritoneal irritation signs and normal biochemical parameters SP must be considered. It should be kept in mind that PCI induced by constipation may be a cause of SP.

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“…[7] Gynecologic causes are seen less frequently in children and can be resulted of a pelvic inflammatory disease or can be a sign of sexual abuse. [10] Finally, there exists a group of patients in whom there are no demonstrable causes for the development of pneumoperitoneum and many of these cases have a negative laparotomy. These are true cases of idiopathic pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

“…However there are recent studies in children of spontaneus pneumoperitoneum managed non-surgically [10].…”

Spontaneous pneumoperitoneum in pediatric patients: A case series

Cited by 8 publications

References 16 publications

Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: a case report

Tension pneumoperitoneum caused by rupture of intraabdominal soft tissue emphysema in a child supported with high-frequency oscillatory ventilation: a case report

An Unusual Pediatric Case with Spontaneous Pneumoperitoneum: Pneumatosis Cystoides Intestinalis Induced by Constipation

Idiopathic Pneumoperitoneum in A Pediatric Patient: A Case Report

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