Tension pneumoperitoneum

Case contributed by Dr Derek Smith

Presentation

Sudden onset abdominal pain during elective endoscopic investigation. Breathless and tachycardic.

Patient Data

Age: 55
Gender: Female
X-ray

Erect CXR

Significant pneumoperitoneum with displacement of diaphragm, abdominal organs and compression of thoracic structures.

Case Discussion

This patient was immediately taken to theater for emergency laparotomy.  The transverse colon was found to be the site of a number of micro-perforations which contributed to this presentation.

The patient did not survive.

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Case information

rID: 30965
Published: 11th Sep 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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