Hakim Suhail Yaqoob, Abdelrahman Husham, Mudali Insolvisagan Natesa, El-Menyar Ayman, Peralta Ruben, Al-Thani Hassan
Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.
Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.
Int J Surg Case Rep. 2014;5(12):1106-9. doi: 10.1016/j.ijscr.2014.11.022. Epub 2014 Nov 13.
Blunt trauma as a cause of pneumoperitoneum is less frequent and its occurrence without a ruptured viscus is rarely seen.
We report a case of blunt neck trauma in which a motorcycle rider hit a fixed object causing severe laryngotracheal injury. The patient developed pneumothorax bilaterally and had pneumoperitoneum despite no injury to the internal viscus. Bilateral chest tube drainage and abdominal exploratory laparotomy was performed.
Free air in the abdomen after blunt traumatic neck injury is very rare. If pneumoperitoneum is suspected in the presence of pneumothorax, exploratory laparotomy should be performed to rule out intraabdominal injury. As, there is no consensus for this plan yet, further prospective studies are warrant. Conservative management for pneumoperitoneum in the absence of viscus perforation is still a safe option in carefully selected cases.
钝性创伤作为气腹的病因较为少见，且在没有内脏破裂的情况下发生气腹更是罕见。
我们报告一例钝性颈部创伤病例，一名摩托车骑手撞上固定物体，导致严重的喉气管损伤。患者双侧出现气胸，尽管内脏未受损伤，但仍出现了气腹。进行了双侧胸腔闭式引流和腹部探查剖腹术。
钝性颈部创伤后腹腔内出现游离气体非常罕见。如果在气胸存在的情况下怀疑有气腹，应进行探查剖腹术以排除腹腔内损伤。由于目前对此方案尚无共识，因此有必要进行进一步的前瞻性研究。在精心挑选的病例中，对于无内脏穿孔的气腹进行保守治疗仍是一种安全的选择。
