Tension Pneumoperitoneum Following Instrumental Perforation of an Obstructed Esophagus in an Infant

Chih Cheng Luo, Man Shan Kong, Hsun Chin Chao, Wan J. Wu

Research output: Contribution to journalArticle

Abstract

A 4-month-old infant was diagnosed with esophageal atresia and tracheoesophageal fistula. He was admitted to our hospital because of progressive poor findings and repeated aspiration pneumonia after surgical repair. An esophagogram demonstrated severe esophageal stricture. Flexible endoscopic dilatation was performed under general anesthesia, but sudden onset respiratory distress and progressive abdominal distention were noted during the procedure. Abdominal radiographic study revealed severe pneumoperitoneum. Tension pneumoperitoneum after perforation of the obstructed esophagus is extremely rare but life threatening. We herein report our experience with the successful management of this complication in an infant.

Original languageEnglish
Pages (from-to)768-771
Number of pages4
JournalChang Gung Medical Journal
Volume26
Issue number10
Publication statusPublished - Oct 2003
Externally publishedYes

Keywords

  • Esophageal perforation
  • Pneumoperitoneum

ASJC Scopus subject areas

  • Medicine(all)

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