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Tension pneumoperitoneum during pneumatic reduction of pediatric intussusception: case report
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장겹침증 환아에게 공기 정복술 후 발생한 긴장성 공기 복강증 1례

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Type
Academic journal
Author
Mi Jin Kim (울산대학교 의과대학 울산대학교병원 응급의학과) Dong Bin Kim (울산대학교병원 권역응급의료센터 응급의학과) Jung Seok Hong M.D. (울산대학교병원 응급의학과) 정진영 (울산대학교)
Journal
The Korean Society Of Emergency Medicine 대한응급의학회지 대한응급의학회지 제29권 제4호 KCI Accredited Journals
Published
2018.8
Pages
385 - 389 (5page)

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Tension pneumoperitoneum during pneumatic reduction of pediatric intussusception: case report
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This paper presents a case report of tension pneumoperitoneum that occurred in a 4-month-old girl with intussusception during pneumatic reduction. Tension pneumoperitoneum is a rare but life threatening complication in air pressure enema that is commonly used to turn the intussuscepted bowel to its original position. The incidence of a simple pneumoperitoneum due to a bowel perforation associated with attempted pneumatic reduction for intussusception is as high as 4%. The simple pneumoperitoneum changed rapidly to tension pneumoperitoneum and immediate needle decompression was life-saving in this case. Similar to a tension pneumothorax, the diagnosis is clinical and management should not be delayed awaiting other confirmatory tests. The emergency physician must recognize this rare complication of pneumatic reduction and promptly treat the ensuing tension pneumoperitoneum after bowel perforation with immediate needle decompression as a part of the initial resuscitation.
#Intussusception #Pneumoperitoneum #Reduction

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References (15)

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Ng E / 2002 / Life threatening tension pneumoperitoneum from intestinal perforation during air reduction of intussusception / Paediatr Anaesth 12:798~800 Crossref Sohoni A / 2007 / Tension pneumoperitoneum after intussusception pneumoreduction / Pediatr Emerg Care 23:563~564 Crossref Maoate K / 1998 / Perforation during gas reduction of intussusception / Pediatr Surg Int 14:168~170 Crossref Daneman A / 1995 / Perforation during attempted intussusception reduction in children: a comparison of perforation with barium and air / Pediatr Radiol 25:81~88 Crossref Fallon SC / 2013 / Needle decompression to avoid tension pneumoperitoneum and hemodynamic compromise after pneumatic reduction of pediatric intussusception / Pediatr Radiol 43:662~667 Crossref

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