Tension pneumoperitoneum after cardiopulmonary resuscitation

P. A. Cameron, P. L. Rosengarten, W. R. Johnson, L. Dziukas

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Abstract

Objective: To increase awareness of the unusual complication of pneumoperitoneum after cardiopulmonary resuscitation. Clinical features: A 57-year-old male farmer with a history of chronic renal failure and heart disease, as well as severe oesophageal reflux for which fundoplication had been performed, developed a tension pneumoperitoneum after cardiopulmonary resuscitation. This resulted in lower limb cyanosis and an erection, a previously unreported complication. Intervention and outcome: The tension was relieved by uncapping a peritoneal dialysis catheter that was in situ. The cyanosis and erection resolved immediately, suggesting that the tension pneumoperitoneum had caused significant venous obstruction. A 3 cm defect in the posterior wall of the stomach was repaired. Conclusion: The likelihood of pneumoperitoneum is reduced if standard guidelines for cardiopulmonary resuscitation are adhered to.

Original languageEnglish
Pages (from-to)44-47
Number of pages4
JournalThe Medical Journal of Australia
Volume155
Issue number1
Publication statusPublished - 1 Jan 1991
Externally publishedYes

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