TY  - CHAP
M1  - Book, Section
TI  - Complications of General Surgical Procedures
A1  - Hooker, Edmond A.
A2  - Tintinalli, Judith E.
A2  - Ma, O. John
A2  - Yealy, Donald M.
A2  - Meckler, Garth D.
A2  - Stapczynski, J. Stephan
A2  - Cline, David M.
A2  - Thomas, Stephen H.
PY  - 2020
T2  - Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
AB  - Content  Update:  Post-operative  Pneumoperitoneum  April  2020Patients  undergoing  laparoscopic  and  open  abdominal  surgery  have  residual  intra-abdominal  pneumoperitoneum  for  varying  amounts  of  time  after  surgery.  Post-operative  patients  presenting  to  the  ED  with  abdominal  or  chest  pain  may  have  pneumoperitoneum  discovered  on  CT  scanning  or  upright  chest  radiographs.  Differentiating  normal,  from  pathologic  pneumoperitoneum  related  to  perforation  or  anastomotic  failure,  can  be  difficult.  Free  air  may  be  pathologic  if  the  patient  is  more  than  3-5  days  post-op,  if  there  is  a  large  amount  of  air,  or  if  the  patient  has  evidence  of  peritoneal  irritation,  fever,  or  leukocytosis  (1,2,3).  For  such  patients  consult  surgery  to  help  determine  the  next  steps.(1)  Malgras,  B  et  al  'Natural  History  of  Pneumoperitoneum  after  Laparotomy:  findings  on  multidetector-row  computed  tomography'  World  Journal  of  Surgery  41.1  (2017):56-63  PMID  27456496(2)  Gayer,  G  et  al  'Post-operative  Pneumoperitoneum  as  Detected  by  CT:  Prevalence,  duration,  and  relevant  factors  affecting  its  possible  significance'  AbdomImaging  (2000)  25:301-305  doi:10.1007/s002610000036(3)  Bernstein  L  et  al  'Postoperative  Pneumoperitoneum:  Clearing  the  Air'  J  Surg  (Jan,  2014):2  (1),  4.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1171854170
ER  -