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(Chest. 1974;66:536-540.)
© 1974 American College of Chest Physicians

Pneumoperitoneum in Association with Pneumothorax

F. L. Glauser M.D.1 and R. H. Bartlett M.D.2

1 Department of Medicine
2 Department of Surgery

The association of pneumoperitoneum with pneumothorax is considered relatively rare. Over a two-year period five cases of this syndrome were seen in a general hospital setting. Three of the patients had the following in common: (1) ventilatory support; (2) severely noncompliant lungs and/or severely obstructed airways; (3) very high peak inspiratory pressures (greater than 40 cmH2O). In these cases alveolar or tracheal rupture led to the development of pneumoperitoneum. In the remaining cases the pneumothorax and pneumoperitoneum were secondary to (1) diagnostic peritoneoscopy and (2) high pressure compressive blunt trauma to the chest cage.

Submitted on January 28, 1974
Accepted on April 5, 1974




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