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Tension pneumoperitoneum as an early complication after adenotonsillectomy

Published online by Cambridge University Press:  29 June 2007

Gus D. Vos*
Affiliation:
Departments of Paediatrics, Academic Hospital Maastrich. The Netherlands.
E. H. Marres
Affiliation:
Departments of Otolaryngology, Academic Hospital Maastrich. The Netherlands.
Erik Heineman
Affiliation:
Departments of Paediatric Surgery, Academic Hospital Maastrich. The Netherlands.
Maurice Janssens
Affiliation:
Departments of Anaesthesia, Academic Hospital Maastrich. The Netherlands.
*
Address for correspondence: Dr Gijs D. Vos, Department of Paediatrics, Academic Hospital Maastricht, P0 Box 5800, 6202 AZ Maastricht, The Netherlands. Fax: +31-43875246

Abstract

Pneumoperitoneum as a result of pneumomediastinum has been described already. Amongst the causes pneumoperitoneum due to a complication of adenotonsillectomy, has not previously been described.

We describe a five-year-old girl with tension pneumoperitoneum with respiratory and circulatory insufficiency half an hour after adenotonsillectomy. Removal of the intra-abdominal air witha 14 gauge needle restored normal respiration and circulation.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

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