Approach to the patient with pneumoretroperitoneum

Welikumbura, Sumudu; Pham, Toàn; Jain, Anshini; Williams, Marli; Smart, Philip

doi:10.1111/ans.16061

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…Air can further dissect along the great vessels or the esophagus through the diaphragmatic hiatus and cause pneumoretroperitoneum. 3 Pneumoretroperitoneum is most often described in the literature as being associated with respiratory tract rupture or rupture of alveoli, infection with gas-forming organisms, or interruption of the barriers between the gastrointestinal tract and the retroperitoneal space, commonly after colonoscopy or surgical manipulation of the gastrointestinal tract. 4 Pneumoretroperitoneum is rarely associated with blunt traumatic injury, such that in one study, only one patient in a cohort of 233 patients with blunt abdominal trauma was noted to have pneumoretroperitoneum.…”

Section: Introductionmentioning

confidence: 99%

A Case Report of Pneumoretroperitoneum from Blunt Trauma in a Patient with Chronic Obstructive Pulmonary Disease

Daecher,

Hartman,

Krueger

2023

Clinical Practice and Cases in Emergency Medicine

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Introduction: Pneumomediastinum is a rare complication of blunt traumatic injury and is thought to be due to the Macklin effect, a pathophysiologic process comprised of three steps: alveolar rupture secondary to blunt injury; air dissecting along bronchovascular sheaths; and spread of pulmonary interstitial edema into the mediastinal space. Pneumomediastinum is rarely associated with pneumoretroperitoneum.Case Report: We present a case of a patient who suffered a cardiac arrest after a fall during a chronic obstructive pulmonary disease exacerbation, leading to pneumoretroperitoneum.Conclusion: This case highlights the complications that can arise from blunt trauma and how underlying lung pathology can worsen these complications.

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Section: Introductionmentioning

confidence: 99%