RESUMEN
Pneumoperitoneum following cardiopulmonary resuscitation (CPR) results from a thoracic air leak (pneumothorax, pneumomediastinum) with escape of the air through diaphragmatic apertures (mostly foramen of Winslow) or primary perforation of the gastrointestinal tract (stomach or esophagus). We report three cases of pneumoperitoneum complicating CPR. As there was no clinical evidence of peritonitis, and the patients remained stable, a conservative approach was followed without surgical exploration. All patients recovered completely.
Asunto(s)
Neumoperitoneo/etiología , Resucitación/efectos adversos , Adulto , Anciano , Femenino , HumanosRESUMEN
Cocaine drug packets were found in the gastro-intestinal tract of seven persons, charged with and arrested for presumed drug smuggling. Plain abdominal roentgenograms were positive in 4, while computer tomography of the abdomen (CT-scan) was necessary in 3 others to make the diagnosis. There were no signs of acute intoxication or bowel obstruction. All patients were treated with enemas and/or laxatives in order to evacuate the hidden packets; no complications occurred. A clinical description of the seven cases is followed by a short review of the literature, mainly focused on the possible complications of ingested drug packets and possible methods of removal.
Asunto(s)
Cocaína , Sistema Digestivo/diagnóstico por imagen , Control de Medicamentos y Narcóticos/legislación & jurisprudencia , Cuerpos Extraños/diagnóstico por imagen , Adulto , Enema , Femenino , Cuerpos Extraños/terapia , Humanos , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
Venopulmonary fistula occurred in a 13-year-old girl, 2 weeks after insertion of a silicone parenteral nutrition catheter. "TPN pneumonia" evolved to life-threatening respiratory failure. Complete resolution of the respiratory insufficiency followed removal of the catheter.