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Pediatric emergency care · Mar 1988
Case ReportsTraumatic pneumoperitoneum following combined abdominal and thoracic injury.
- G K Luna and A C Eddy.
- Department of Surgery, University of Washington, School of Medicine, Seattle.
- Pediatr Emerg Care. 1988 Mar 1;4(1):30-1.
AbstractPneumoperitoneum following blunt abdominal trauma in the absence of other signs of severe intraabdominal injury is a rare finding. Although the vast majority of all cases of pneumoperitoneum are due to a ruptured intraabdominal hollow viscus, free abdominal air may result from significant barotrauma to the thorax. This type of secondary pneumoperitoneum can occur in the absence of chest x-ray evidence of a pneumothorax or pneumomediastinum. The complications associated with a missed visceral injury warrant an exploratory laparotomy, even if an extraabdominal source for the pneumoperitoneum is suspected.
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