Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-28T18:13:19.163Z Has data issue: false hasContentIssue false

Tension pneumoperitoneum as an early complication after adenotonsillectomy

Published online by Cambridge University Press:  29 June 2007

Gus D. Vos*
Affiliation:
Departments of Paediatrics, Academic Hospital Maastrich. The Netherlands.
E. H. Marres
Affiliation:
Departments of Otolaryngology, Academic Hospital Maastrich. The Netherlands.
Erik Heineman
Affiliation:
Departments of Paediatric Surgery, Academic Hospital Maastrich. The Netherlands.
Maurice Janssens
Affiliation:
Departments of Anaesthesia, Academic Hospital Maastrich. The Netherlands.
*
Address for correspondence: Dr Gijs D. Vos, Department of Paediatrics, Academic Hospital Maastricht, P0 Box 5800, 6202 AZ Maastricht, The Netherlands. Fax: +31-43875246

Abstract

Pneumoperitoneum as a result of pneumomediastinum has been described already. Amongst the causes pneumoperitoneum due to a complication of adenotonsillectomy, has not previously been described.

We describe a five-year-old girl with tension pneumoperitoneum with respiratory and circulatory insufficiency half an hour after adenotonsillectomy. Removal of the intra-abdominal air witha 14 gauge needle restored normal respiration and circulation.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Colclasure, J., Graham, S. (1990) Complications of outpatient tonsillectomy and adenoidectomy: a review of 3340 cases. Ear, Nose, and Throat Journal 69(3): 155160.Google Scholar
Hartoko, T., Demey, H., Rogiers, P. (1991) Pneumoperitoneum, a rare complication of cardiopulmonary resuscitation. Acta Anaesthesiologica Scandinavica 35(3): 235237.CrossRefGoogle ScholarPubMed
Hasel, R., Arora, S., Hickey, D. (1993) Intraoperative complications of laparoscopic cholecystectomy. Canadian Journal of Anaesthesia 40(5 Pt 1): 459464.CrossRefGoogle ScholarPubMed
Kendrick, D., Gibbin, K. (1993) An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy. Clinical Otolaryngology 18(2): 115117.CrossRefGoogle ScholarPubMed
Landsberg, L., Rosenzweig, V. (1992) Pneumomediastinum causing pneumoperitoneum. Chest 101(4): 1176.CrossRefGoogle Scholar
Rosenfeld, D., Cordell, C., Jadeja, N. (1990) Retrocardiac pneumomediastinum: radiographic finding and clinical implications Pediatrics 85(1): 9297.Google ScholarPubMed
Rous, J., Slipka, J., Cermak, Z. (1990) An unusual early complication of tonsillectomy. Ceskoslovenska Otolaryngologie 39(5): 307312.Google ScholarPubMed
Shah, P., Ramakantan, R. (1990) Pneumoperitoneum and pneumomediastinum: unusual complications of laparoscopy. Journal of Postgraduate Medicine 36(1): 3132.Google ScholarPubMed
Wiatrac, B., Myer, C., Andrews, T. (1991) Complications of adenotonsillectomy in children under three years of age. American Journal of Otolaryngology 12(3): 170172.CrossRefGoogle Scholar