J Korean Soc Emerg Med.  2012 Oct;23(5):757-761.

A Case Report of Non-operative Management of Pneumoperitoneum after Bystander Cardiopulmonary Resuscitation

• Lee KW

Abstract

We report on the case of a 66-year-old male patient who suffered a cardiac arrest in his home. At the scene, bystander cardiopulmonary resuscitation (CPR) was performed by his family. The 119 firefighter emergency medical technician arrived and subsequently performed CPR. After being transported to my hospital, he was successfully resuscitated. Through physical examination, his abdomen was found to be expanded and tympanic. A simple X-ray showed free air in his abdomen. After bystander CPR, we diagnosed pneumoperitoneum. Due to his hemodynamic stability and lack of peritoneal signs, a non-operative management was administered successfully. Non-operative management can be an alternative in selected pneumoperitoneum patients. We report on a case of non-operative management of a pneumoperitoneum after bystander CPR with a review of the literature.

Keyword

Pneumoperitoneum; Bystander; Cardiopulmonary resuscitation

MeSH Terms

Abdomen
Cardiopulmonary Resuscitation
Emergency Medical Technicians
Firefighters
Heart Arrest
Hemodynamics
Humans
Male
Physical Examination
Pneumoperitoneum