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Images in emergency medicine
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

https://doi.org/10.1136/emermed-2013-203469

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    Image case history

    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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    Footnotes

    • Contributors DTW and PM: Patient care, article research, authorship and editing. HTK: Article research, authorship and editing.

    • Competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.