Ahmed Khedher, Amine El Ghali Mohamed, Abdelbaki Azouzi, Jihene Ayachi, Khaoula Meddeb, Yamina Hamdaoui, Mohamed Boussarsar
Medical Intensive Care Unit, Farhat Hached University Hospital, Sousse, Tunisia.
General Surgery Department, Farhat Hached University Hospital, Sousse, Tunisia.
Pan Afr Med J. 2016 Oct 31;25:125. doi: 10.11604/pamj.2016.25.125.9038. eCollection 2016.
Pneumoperitoneum is not always associated with hollow viscus perforation. Such condition is called non-surgical or spontaneous pneumoperitoneum. Intrathoracic causes remain the most frequently reported mechanism inducing this potentially life threatening complication. This clinical condition is associated with therapeutic dilemma. We report a case of a massive isolated pneumoperitoneum causing acute abdominal hypertension syndrome, in a 75 year female, which occurred after difficult airway management and mechanical ventilation. Emergent laparotomy yielded to full recovery. The recognition of such cases for whom surgical management can be avoided is primordial to avoid unnecessary laparotomy and its associated morbidity particularly in the critically ill.
气腹并不总是与中空脏器穿孔相关。这种情况被称为非手术性或自发性气腹。胸腔内病因仍然是导致这种潜在危及生命并发症的最常见报道机制。这种临床情况存在治疗困境。我们报告一例75岁女性患者，在困难气道管理和机械通气后发生大量孤立性气腹并导致急性腹腔高压综合征，紧急剖腹手术后完全康复。认识到哪些病例可避免手术治疗对于避免不必要的剖腹手术及其相关并发症至关重要，尤其是在危重症患者中。
