A 61-year-old chronic schizophrenic patient developed sudden cardiac arrest and ventricular fibrillation. Tension pneumoperitoneum was noted after cardiopulmonary resuscitation. The patient had hypotension, lower limbs cyanosis and priapism. The tension was relieved by insertion of a large bore IV catheter through the abdominal wall. Immediately after decompression, the blood pressure improved with the lower limbs cyanosis and priapism resolved.
HamiltonP., RizoliS., McLellanB.Significance of intra-abdominal extraluminal air detected by CT scan in blunt andominal trauma.J Trauma1995; 39(2): 331.
9.
SiuA.Case report: tension pneumoperitoneum - an uncommon complication of cardiopulmonary resuscitation.HKJEM1997; 4(1): 22–3.
