周期性的紧张的 pneumoperitoneum 由于经由一个木钉试管的腹的墙气孔的空气流入

• 作者: Curuchi P Anand Deep Adhikari Rajakrishnan Vijayakrishnan
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: PERCUTANEOUS endoscopic GASTROSTOMY tube ABDOMINAL wall STOMA PNEUMOPERITONEUM Air LEAK
• 年，卷（期）: 2010,（7）
• 页码范围: 280-282
• 页数: 3页
• 分类号: R459.7

摘要

A 70 years old male on ventilatory and circulatory support for sepsis and non ST segment elevation myocardial infarction developed abdominal distension 14 d after placement of a percutaneous endoscopic gastrostomy tube for enteral feeding.Radiography revealed free air in the abdomen and gastrograffin(G) study showed no extravasation into the peritoneum.The G tube was successfully repositioned with mechanical release of air.Imaging showed complete elimination of free air but the patient had a recurrence of pneumoperitoneum.Mechanical release of air with sealing of the abdominal wound was performed.Later,the patient was restarted on tube feeding with no complications.This case demonstrates a late complication of pneumoperitoneum with air leakage from the abdominal wall stoma.