Pediatr Allergy Respir Dis.
2005 Jun;15(2):186-192.
A Case of Pneumoperitoneum After Mechanical Ventilation in A Child with Severe Bronchial Asthma
- Affiliations
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- 1Department of Pediatrics, Ulsan Dong Kang General Hospital, Ulsan, Korea. djleekr@hanmail.net
Abstract
- Massive pneumopritoneum developing immediately following initiation of artificial ventilation is an unusual sign of lung barotrauma and must be distinguished from pneumoperitoneum following rupture of a hollow abdominal viscus. Besides, pneumoperitoneum occurring in a mechanically ventilated asthmatic patient can present a diagnostic dilemma as the usual signs of an intestinal perforation may be masked by steroid therapy, sedation or paralysis, or combination of all three. We report a case of massive pneumoperitoneum after initiation of mechanical ventilation in a child with severe asthmatic attack.
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