AI Article Synopsis

  • Blunt trauma can lead to pneumoperitoneum, but it's uncommon, especially without internal organ rupture.
  • A motorcycle rider suffered severe neck injury and developed pneumothorax and pneumoperitoneum, despite having no internal organ damage.
  • Testing for internal injuries through exploratory surgery is recommended when pneumoperitoneum is suspected, although further research is needed to establish the best treatment approach.

Article Abstract

Introduction: Blunt trauma as a cause of pneumoperitoneum is less frequent and its occurrence without a ruptured viscus is rarely seen.

Presentation Of Case: We report a case of blunt neck trauma in which a motorcycle rider hit a fixed object causing severe laryngotracheal injury. The patient developed pneumothorax bilaterally and had pneumoperitoneum despite no injury to the internal viscus. Bilateral chest tube drainage and abdominal exploratory laparotomy was performed.

Conclusion: Free air in the abdomen after blunt traumatic neck injury is very rare. If pneumoperitoneum is suspected in the presence of pneumothorax, exploratory laparotomy should be performed to rule out intraabdominal injury. As, there is no consensus for this plan yet, further prospective studies are warrant. Conservative management for pneumoperitoneum in the absence of viscus perforation is still a safe option in carefully selected cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275790PMC
http://dx.doi.org/10.1016/j.ijscr.2014.11.022DOI Listing

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