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Tension pneumoperitoneum
  1. David T Williams,
  2. Pej Manoochehri,
  3. Hyung T Kim
  1. Department of Emergency Medicine, Keck School of Medicine of The University of Southern California, LAC+USC Medical Center, Los Angeles, California, USA
  1. Correspondence to Dr David T Williams, Department of Emergency Medicine, Keck School of Medicine of The University of Southern California, LAC+USC Medical Center, 1200 North State Street, Suite #GH1011, Los Angeles, CA 90033, USA; dtwillia{at}usc.edu

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An elderly female with peritoneal carcinomatosis of ovarian origin was resuscitated following a pulseless electrical activity (PEA) cardiac arrest. Prehospital intubation attempts were unsuccessful and the patient received bag-valve-mask ventilation. En route, paramedics reported increasing difficulty ventilating and the patient's abdomen became distended, tense and tympanitic. After emergency department arrival, a postintubation radiograph of the chest …

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