Tension pneumoperitoneum due to gastric perforation

Sign of the falciform ligament revealing a silent gastric perforation in the adult due to a nasogastric tube

“…Moreover, she had a pneumo-omentocele which confirms the posterior seat of the perforation [5]. The diagnosis is confirmed by the means of exploration in this case CT scan or X-ray, the esogastroduodenal transit (EGDT), and the upper digestive endoscopy [4,[9][10][11]. The front and the profile X-ray make it possible to mention the position of the distal end of the NGT and the location of the pneumoperitoneum, especially with an uplift of the diaphragmatic dome.…”

Tension pneumoperitoneum: Case report of a rare form of acute abdominal compartment syndrome

“…Several cases of ACS induced by PP are founded in medical literature with the term tension pneumoperitoneum. Those cases have varied etiologies like colonoscopic complications [[18], [19], [20], [21], [22]], metastasis-induced perforation [23], perforated gastric ulcer [24]; and severe consequences of aortic occlusion [25]. Rogers and Garcia stated: irrespective to the cause, elevated IAP can threaten perfusion and thus viability of tissue in the abdominal compartment [7].…”

Tension Pneumoperitoneum: A Rare Complication of Upper Gastrointestinal Endoscopy

“…14 Urgent abdominal computed tomography, provided that it can be undertaken without undue loss of time, is helpful in that it demonstrates massive pneumoperitoneum with bowel loop compression and centralization of the abdominal organs. 3 …”