Extra-peritoneal air mimicking pneumoperitoneum in an infant
About 10% of cases of pneumoperitoneum are not associated with a hollow viscus breach. Here we present a rare cause due to a gas-forming organism in a 45 day-old male patient. He presented with severe abdominal distension and poor general condition that started at day 10 of life. Erect abdominal x-r...
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| Main Authors: | , , |
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| Format: | Book |
| Published: |
Elsevier,
2017-11-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | About 10% of cases of pneumoperitoneum are not associated with a hollow viscus breach. Here we present a rare cause due to a gas-forming organism in a 45 day-old male patient. He presented with severe abdominal distension and poor general condition that started at day 10 of life. Erect abdominal x-rays revealed pneumoperitoneum. A chronic abscess cavity was found on exploration and the underlying gut was healthy. The cavity was evacuated and a drain left in-situ. Culture and sensitivity reported Escherichia coli and Pseudomonas aeruginosa. The baby tolerated full oral feeds 48 h after the procedure. His general condition improved with the appropriate antibiotics. |
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| Item Description: | 2213-5766 10.1016/j.epsc.2017.08.001 |