title: Pneumatosis intestinalis and laparoscopic exploration: beware of gas explosion.
abstract: Colonic gas explosion, although rare, is sometimes a fatal iatrogenic complication in endoscopic procedures or laparotomic surgery, but it has not been reported during port incision of laparoscopy. We report a case of gas detonation in a patient with pneumatosis intestinalis and pneumoperitoneum, on opening the peritoneum with a diathermy for umbilical trocar insertion. Based on our experience, in cases of pneumoperitoneum, surgeons need to avoid using a diathermy in opening the peritoneum.
authors.affiliation: Department of Surgery, Korea University College of Medicine, Seoul, Korea.
authors.forename: Kwang Dae
authors.initials: KD
authors.lastname: Hong
authors.forename: Sun Il
authors.initials: SI
authors.lastname: Lee
authors.forename: Hong Young
authors.initials: HY
authors.lastname: Moon
mesh_terms: D000368:Aged; D003106:Colon / Q000293:injuries* / Q000601:surgery; D003972:Diathermy / Q000009:adverse effects*; D005107:Explosions; D005260:Female; D005740:Gases; D006801:Humans; D007049:Iatrogenic Disease; D007081:Ileostomy; D007431:Intraoperative Complications / Q000601:surgery; D010535:Laparoscopy; D011006:Pneumatosis Cystoides Intestinalis / Q000601:surgery*; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects*
chemical_list: D005740:Gases