• Med. J. Aust. · Jul 1991

    Case Reports

    Tension pneumoperitoneum after cardiopulmonary resuscitation.

    • P A Cameron, P L Rosengarten, W R Johnson, and L Dziukas.
    • Alfred Hospital, Prahran, VIC.
    • Med. J. Aust. 1991 Jul 1;155(1):44-7.

    ObjectiveTo increase awareness of the unusual complication of pneumoperitoneum after cardiopulmonary resuscitation.Clinical FeaturesA 57-year-old male farmer with a history of chronic renal failure and heart disease, as well as severe oesophageal reflux for which fundoplication had been performed, developed a tension pneumoperitoneum after cardiopulmonary resuscitation. This resulted in lower limb cyanosis and an erection, a previously unreported complication.Intervention And OutcomeThe tension was relieved by uncapping a peritoneal dialysis catheter that was in situ. The cyanosis and erection resolved immediately, suggesting that the tension pneumoperitoneum had caused significant venous obstruction. A 3 cm defect in the posterior wall of the stomach was repaired.ConclusionThe likelihood of pneumoperitoneum is reduced if standard guidelines for cardiopulmonary resuscitation are adhered to.

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