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KMID : 0367419910340060837
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Journal of Korean Pediatric Society
1991 Volume.34 No. 6 p.837 ~ p.842
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A Case of Pneumoperitoneum Secondry to Pulmonary Airleak and a Sunukar Case if Abdominal Subcutaneous Emphysema
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Kim Jai-Eok
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Abstract
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Pneumoperitoneum in association with pulmonry airleak syndrome is rarely encountered in spite of the rather frequent occurence of the pulmonary airleak syndrome in the neonates and the premature babies under ventilator therapy. In most cases of pneiimoperitoneum, the major cause is gastrointes- tinal perforation which evidently requires emergency surgery. Nevertheless, no such aggressive procedure as explolaparotomy is needed in case of pneumoperitoneum secondary to pulmonary airleak without gastrointestinal perforation. Therefore in order to avoid unnecessary operations we have to keep in mind that pneumoperitoneum might have resulted from other much benign causes than gastrointestinal perforation. Recently we experienced a case of pneumoperitoneum secondary to pulmonary airleak in a neonate under ventilator therapy with no evidence of gastrointestinal perforation confirmed by explolapar- otomy and a similar case diagnosed as abdominal subcutaneous emphysema in a premature baby with hyaline membrane disease. A brief review of the related literature is presented.
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KEYWORD
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Pneumoperitoneum, Pulmonary Airleak Syndrome
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