alexa Peer Reviewed Journals In Blunt Trauma | OMICS International | Emergency Medicine: Open Access

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Blunt Trauma

Pneumoperitoneum(pp) denotes an abnormal collection of air in the peritoneal cavity. It results s from a perforated hollow viscous in 90% of the cases and requires immediate surgical intervention Spontaneous/idiopathic pneumoperitoneum associated with pneumothorax secondary to blunt trauma is rare. In this case the thoracic air dissects retroperitonealy or leaks directly through diaphragm. The diagnosis of Spontaneous pnemoperitoneum (SP) is usually made after negative laparotomy results.SP with a signs of peritonitis makes a therapeutic dilemma between conservative or non-conservative treatment. Doing a diagnostic laparoscope in this situation is safety and a major laparotomy may be avoided. The blunt trauma patient described in the case report presented with respiratory distress with pain and distension of abdomen. Clinically and radiologicaly there was surgical emphysema and fracture ribs on left side with pneumothorax.ICTD promptly relieves the respiratory symptoms. Patterned abrasions of tyre marks (London’s sign), obliterated liver dullness, tenderness on palpation of abdomen with radiological evidence of pneumothorax, and Pneumoperitonum made us dilemma for conservative /no conservative approach. Complications from missed intra-abdominal injuries can be disastrous. Samir Ranjan Nayak, Spontaneous Pnemoperitoneum after Blunt Trauma Chest –Diagnostic Dilemma-Role of Diagnostic Laparoscopy – Case Report
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Last date updated on June, 2014

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