Tension pneumoperitoneum
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A 65-year-old woman who had undergone colonoscopy with removal of multiple polyps had become unresponsive at the end of the procedure and was transferred to the emergency department for evaluation. She regained consciousness but remained in distress with diaphoresis. On physical examination, the heart rate was 130 beats per minute, and the skin of the abdominal and pelvic areas and lower limbs was mottled. The abdomen was massively distended, tympanitic, and diffusely tender to palpation with evidence of guarding. Chest and abdominal radiographs (Panels A and B) revealed a large amount of free air under the diaphragm with centralization of the intraabdominal contents that was consistent with a massive tension pneumoperitoneum...

http://bit.ly/2ryKGwd
Dr. a●●t m●●●a and 4 others like this
Like
Comment
Share