Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review
Joint Authors
Lee, Haesoon
Gummalla, Prabhavathi
Mundakel, Gratias
Agaronov, Maksim
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Gummalla, Prabhavathi& Mundakel, Gratias& Agaronov, Maksim& Lee, Haesoon. 2017. Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review. Case Reports in Pediatrics،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149436
Modern Language Association (MLA)
Gummalla, Prabhavathi…[et al.]. Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review. Case Reports in Pediatrics No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1149436
American Medical Association (AMA)
Gummalla, Prabhavathi& Mundakel, Gratias& Agaronov, Maksim& Lee, Haesoon. Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review. Case Reports in Pediatrics. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149436
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149436