Needle Decompression of Tension Pneumoperitoneum: A Case Report

Introduction: Tension pneumoperitoneum is rarely encountered in the emergency department but can have disastrous effects on the body when it is. However, an emergency physician has skills that can be readily applied to needle decompress the abdomen for rapid stabilization. Case Report: A 42-year-old...

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Autores principales:	Joseph Ray, Nadin Exantus
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/c9f43554168a464fa4afea7d81e914f0
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spelling	oai:doaj.org-article:c9f43554168a464fa4afea7d81e914f02021-11-23T20:02:52ZNeedle Decompression of Tension Pneumoperitoneum: A Case Report2474-252X10.5811/cpcem.2021.8.53447https://doaj.org/article/c9f43554168a464fa4afea7d81e914f02021-11-01T00:00:00Zhttps://escholarship.org/uc/item/4zr548wkhttps://doaj.org/toc/2474-252XIntroduction: Tension pneumoperitoneum is rarely encountered in the emergency department but can have disastrous effects on the body when it is. However, an emergency physician has skills that can be readily applied to needle decompress the abdomen for rapid stabilization. Case Report: A 42-year-old male arrived via ambulance after a likely overdose with mental status improvement following naloxone administration. He was found to be in respiratory distress due to a rigid, distended abdomen that required intubation for stabilization. Computed tomography imaging showed significant pneumoperitoneum with tension physiology. Surgery consultation was unable to intervene immediately, and needle decompression with an angiocatheter was performed at the bedside with immediate ventilatory improvement. Conclusion: Tension pneumoperitoneum is a rare but potentially disastrous consequence of overdose secondary to emesis and rupture of the gastric wall. Needle decompression is a skillset already in the emergency physician’s toolbox and can be applied for emergency stabilization of a tension pneumoperitoneum with proper forethought and technique.Joseph RayNadin ExantuseScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Joseph Ray Nadin Exantus Needle Decompression of Tension Pneumoperitoneum: A Case Report
description	Introduction: Tension pneumoperitoneum is rarely encountered in the emergency department but can have disastrous effects on the body when it is. However, an emergency physician has skills that can be readily applied to needle decompress the abdomen for rapid stabilization. Case Report: A 42-year-old male arrived via ambulance after a likely overdose with mental status improvement following naloxone administration. He was found to be in respiratory distress due to a rigid, distended abdomen that required intubation for stabilization. Computed tomography imaging showed significant pneumoperitoneum with tension physiology. Surgery consultation was unable to intervene immediately, and needle decompression with an angiocatheter was performed at the bedside with immediate ventilatory improvement. Conclusion: Tension pneumoperitoneum is a rare but potentially disastrous consequence of overdose secondary to emesis and rupture of the gastric wall. Needle decompression is a skillset already in the emergency physician’s toolbox and can be applied for emergency stabilization of a tension pneumoperitoneum with proper forethought and technique.
format	article
author	Joseph Ray Nadin Exantus
author_facet	Joseph Ray Nadin Exantus
author_sort	Joseph Ray
title	Needle Decompression of Tension Pneumoperitoneum: A Case Report
title_short	Needle Decompression of Tension Pneumoperitoneum: A Case Report
title_full	Needle Decompression of Tension Pneumoperitoneum: A Case Report
title_fullStr	Needle Decompression of Tension Pneumoperitoneum: A Case Report
title_full_unstemmed	Needle Decompression of Tension Pneumoperitoneum: A Case Report
title_sort	needle decompression of tension pneumoperitoneum: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/c9f43554168a464fa4afea7d81e914f0
work_keys_str_mv	AT josephray needledecompressionoftensionpneumoperitoneumacasereport AT nadinexantus needledecompressionoftensionpneumoperitoneumacasereport
_version_	1718416120650661888

Needle Decompression of Tension Pneumoperitoneum: A Case Report

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