Journal of the Korean Pediatric Society 1991;34(6):837-842.
Published online June 30, 1991.
A case of pneumoperitoneum secondary to pulmonary airleak and a similar case of abdominal subcutaneous emphysema.
Sei Joong Ko1, Moon Chul Kim2, Jai Eok Kim3
1Department of Pediatrics, Sowha Children
2Department of Radiology, Sowha Children
3Department of Pediatric Surgery, Sowha Children
폐외공기누출에 병발한 2차적 복막기종 1례 및 이와 유사한 복부피하기종 1례
고세중1, 김문철2, 김재억3
1소화 아동병원 소아과
2소화 아동병원 방사선과
3소화 아동병원 소아외과
Received: 15 January 1991   • Accepted: 4 March 1991
Abstract
Pneumoperitoneum in association with pulmonry airleak syndrome is rarely encountered in spite of the rather frequent occurence of the pulmonary airleak syndrome in the neonates and the premature babies under ventilator therapy. In most cases of pneiimoperitoneum, the major cause is gastrointes- tinal perforation which evidently requires emergency surgery. Nevertheless, no such aggressive procedure as explolaparotomy is needed in case of pneumoperitoneum secondary to pulmonary airleak without gastrointestinal perforation. Therefore in order to avoid unnecessary operations we have to keep in mind that pneumoperitoneum might have resulted from other much benign causes than gastrointestinal perforation. Recently we experienced a case of pneumoperitoneum secondary to pulmonary airleak in a neonate under ventilator therapy with no evidence of gastrointestinal perforation confirmed by explolapar- otomy and a similar case diagnosed as abdominal subcutaneous emphysema in a premature baby with hyaline membrane disease. A brief review of the related literature is presented.
Key Words: Pneumoperitoneum, Pulmonary Airleak Syndrome




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