Tension pneumoperitoneum: case report of a rare form of acute abdominal compartment syndrome

Introduction: Tension pneumoperitoneum is a severe and rare form of pneumoperitoneum with concomitant hemodynamic instability and respiratory failure. It is a variant of abdominal compartment syndrome (ACS) causing an abrupt increase in intra-abdominal pressure. Presentation of case: We present a case of pneumoperitoneum, after an endoscopic mucosal resection with the development of ACS. The patient was successfully treated with percutaneous decompression. Discussion: Decompressive laparotomy is the first treatment option for both most forms of pneumoperitoneum and ACS; nevertheless, this issue is controversial. Recent reports have shown that some patients may be candidates for a minimally invasive catheter decompression avoiding major decompressive surgery. Identifying these patients is vital to avoiding unnecessary surgeries. Conclusions: Tension pneumoperitoneum is a life-threatening event, early detection and intervention is critical in order to provide prompt and optimal treatment approaches.

• Autores: Cadena, Manuel; Solano, Jaime; Gomez, Daniel; Vinck, Eric E.; Quiroga, Pedro; Caycedo, Nicolas
• Fecha de publicación: 2019
• Institución: Universidad El Bosque
• Repositorio: Repositorio U. El Bosque
• Idioma: eng
• OAI Identifier: oai:repositorio.unbosque.edu.co:20.500.12495/1648
• Acceso en línea: http://hdl.handle.net/20.500.12495/1648; https://doi.org/10.1016/j.ijscr.2019.01.014
• Palabra clave: Neumoperitoneo; Insuficiencia respiratoria; Laparotomía; Abdominal compartment syndrome; Pneumoperitoneum; Tension pneumoperitoneum
• License: Attribution 4.0 International