지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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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.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Ng E / 2002 / Life threatening tension pneumoperitoneum from intestinal perforation during air reduction of intussusception / Paediatr Anaesth 12:798~800
Sohoni A / 2007 / Tension pneumoperitoneum after intussusception pneumoreduction / Pediatr Emerg Care 23:563~564
Maoate K / 1998 / Perforation during gas reduction of intussusception / Pediatr Surg Int 14:168~170
Daneman A / 1995 / Perforation during attempted intussusception reduction in children: a comparison of perforation with barium and air / Pediatr Radiol 25:81~88
Fallon SC / 2013 / Needle decompression to avoid tension pneumoperitoneum and hemodynamic compromise after pneumatic reduction of pediatric intussusception / Pediatr Radiol 43:662~667
Sohoni A / 2007 / Tension pneumoperitoneum after intussusception pneumoreduction / Pediatr Emerg Care 23:563~564
Maoate K / 1998 / Perforation during gas reduction of intussusception / Pediatr Surg Int 14:168~170
Daneman A / 1995 / Perforation during attempted intussusception reduction in children: a comparison of perforation with barium and air / Pediatr Radiol 25:81~88
Fallon SC / 2013 / Needle decompression to avoid tension pneumoperitoneum and hemodynamic compromise after pneumatic reduction of pediatric intussusception / Pediatr Radiol 43:662~667
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