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(Chest. 1954;25:679-688.)
© 1954 American College of Chest Physicians

Intraabdominal Complications and Sequellae of Pneumoperitoneum

R. T. FOX M.D., F.C.C.P.1; J. R. THOMPSON M.D., F.C.C.P.1; O. L. BETTAG M.D., F.C.C.P.2; E. S. GILBERT M.D.3; and W. M. LEES M.D., F.C.C.P.4

1 Assistant Chief of Surgical Service, Municipal Tuberculosis Sanitarium; Clinical Assistant in Surgery, Northwestern University Medical School.
2 Chief, Department of Welfare, State of Illinois
3 Assistant Chief of Medical Service, Municipal Tuberculosis Sanitarium.
4 Chief of Surgical Service, Municipal Tuberculosis Sanitarium; Assistant Professor of Surgery, Stritch School of Medicine, Loyola University.

Pathologic changes occurred in some 90 per cent of our cases. Speculation is made as to the pathogenesis of this process and the possible disturbance [see Figure 6 in source pdf] of abdominal visceral function. Several patients developed low grade peritonitis with a dynamic small bowel obstruction. All responded to nonsurgical management. Pneumoperitoneum has been definitely incriminated as contributing to death in two patients. The overall incidence of significant complication has been about 1 per cent.






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Copyright © 1954 by the American College of Chest Physicians.