Pneumoperitoneum

perforated abdominal viscus
,


(anastomosis) iatrogenic cause , mechanical ventilator ,
cardiopulmonary resuscitation (pneumothorax)

1 %
polypectomy 2 . ,
mucosa submucosa , 75
4-6
colonic diverticular disease ,
transverse
colon tension pneumoperitoneum
24 .

jugular vein engorgement rule out pneumothorax

 tension pneumoperitoneum

(refer pain)


retroperitoneum
X-ray supine , upright
left lateral decubitus ultrasound
X-ray (CT scan) CT scan
X-ray
(free air series)
Tension pneumoperitoneum
tension pneumoperitoneum

venous return cardiac output cardiac output



sign
tenderness guarding sign
tension pneumothorax
clinical
X-ray

tension pneumoperitoneum X-ray
clinical clinical diagnosis


sign
90% sign

(emergency
percutaneous needle decompression) 16 (16G venous catheter)
2 .
anterior superior iliac spine (ASIS) 5 .

(caput medusa) ,



tension pneumoperitoneum
sign 10 %
tension pneumoperitoneum perforated abdominal
viscus
sign (peritonitis)
1-2
Investigation non-surgical pneumoperitoneum


(iatrogenic bowel perforation) , mechanical ventilator , cardiopulmonary
resuscitation (pneumothorax)