Fatal tension pneumoperitoneum due to aerophagy

Hutchinson, G. H.; Alderson, Danielle; Turnberg, L. A.

doi:10.1136/pgmj.56.657.516

Cited by 13 publications

(6 citation statements)

References 6 publications

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“…Distention may become so pronounced that diagnoses such as obstruction and Hirschsprung's disease are entertained and unnecessary laparotomies are performed [7]. In extreme instances, diaphragmatic compression may compromise respiration [7] and instances of airway obstruction [16] and fatal tension pneumothorax [17] have been reported. Gastric, intestinal, and colonic distention can lead to an acute abdomen [7,12,18], megacolon [7,15], colonic volvulus [19], and even perforation [20].…”

Section: Introductionmentioning

confidence: 99%

Aerophagia and intestinal gas

Quigley

2002

Curr Treat Options Gastro

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Aerophagia refers to a rather rare disorder that may occur in both children and adults that features repetitive air swallowing and belching and that may result in abdominal distention. There are few, if any, controlled studies to guide therapy, which remains largely supportive but may include behavioral therapy and psychotherapy. Bloating, distention, and other gas-related symptoms are common in functional gastrointestinal disorders, including the irritable bowel syndrome; their pathophysiology remains, for the most part, poorly understood. Two separate phenomena need to be distinguished in these disorders: gas production and gas perception. Thus, whereas gas production, which relates most closely to flatus emissions, is probably within the normal range in most patients with irritable bowel syndrome, gas transport or transit through the gut may be impaired and may lead to the retention of gas within segments of the gut. Visceral hypersensitivity, a common phenomenon in all functional disorders, may exacerbate the sensation of distention and contribute to other "gas-related" symptoms. Few controlled studies have addressed any of these issues. Although, on an empiric basis, dietary therapy may be partially effective in some situations, there is at present no data to support the use of any form of pharmacologic, endoscopic, or surgical therapy for any of these symptoms.

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Section: Introductionmentioning

confidence: 99%

Aerophagia and intestinal gas

Quigley

2002

Curr Treat Options Gastro

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“…It is thought to be common among children with learning difficulties (1,2), Rett syndrome (3), autism (4), and after fundoplication for gastroesophageal reflux (5). Although in the majority, aerophagia seems to be a benign condition, in severe cases it has led to grave complications such as spontaneous pneumoperitonium (6), volvulus of the colon (7), and intestinal perforation (8). So far, little is known about the aetiology, clinical profile, and epidemiology of aerophagia among children and adolescents.…”

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confidence: 99%

Aerophagia Among Sri Lankan Schoolchildren

Devanarayana¹,

Rajindrajith²

2012

J. pediatr. gastroenterol. nutr.

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“…12 If diagnosis cannot be established with history and physical examination, erect or decubitus abdominal films can be helpful. Erect films show upper displacement of the diaphragm and medial displacement of the liver (saddlebag sign), 13 and air juxtaposed in the interfaces of the viscera makes the outline of structures like gallbladder and spleen more distinct. 14 Decubitus films are performed in cases for which erect films cannot be performed and demonstrate a large volume of intraabdominal air that shifts to the nondependent side.…”

Section: Discussionmentioning

confidence: 99%