title: Tension pneumoperitoneum complicated with tension pneumothorax in a patient with diaphragmatic eventration.
abstract: Tension pneumothorax complicating a pneumoperitoneum is a rare but known entity. However, all previously published articles report an air leak through defects in the diaphragm connecting the pneumoperitoneum and the pneumothorax. Here, the case of a 36-year-old man in whom the pneumoperitoneum acted like a tension pneumothorax because of a congenital eventration of the left diaphragm without penetration is presented. Emergency needle decompression of the abdomen was performed. A gastric ulcer that had passed through the diaphragm to the right lung was diagnosed intraoperatively. Unfortunately, the patient developed a ventricular fibrillation that remained resistant to all resuscitative efforts, and the patient died shortly afterwards.
authors.affiliation: Department of Emergency Medicine, Dr Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey. drhaldun@gmail.com
authors.forename: Haldun
authors.initials: H
authors.lastname: Akoglu
authors.forename: Erkan
authors.initials: E
authors.lastname: Coban
authors.forename: Ozlem
authors.initials: O
authors.lastname: Guneysel
mesh_terms: D000328:Adult; D019299:Decompression, Surgical; D003965:Diaphragmatic Eventration / Q000150:complications* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011027:Pneumoperitoneum / Q000209:etiology* / Q000601:surgery; D011030:Pneumothorax / Q000150:complications* / Q000601:surgery; D013276:Stomach Ulcer / Q000175:diagnosis