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| Year : 2002 | Volume
: 7
| Issue : 3 | Page : 147-150 |
Case of pneumoperitoneum and surgical emphysema
S Saha, D Ghosh, S Das
Department of Pediatric Surgery NRS medical college, Kolkata
Correspondence Address:
S Saha
Department of Pediatric Surgery NRS medical college, Kolkata
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: A 12-day old male neonate was admitted with the history of intermittent seizures from day 1, progressive abdominal distension from day 3, bilateral scrotal swellings, pneumoperitoneum, surgical emphysema and respiratory distress form day 5, and blood mixed stool from day 8. The baby passed scanty meconium in the first 3 days of his life, but never thereafter. X-ray of the abdomen showed huge pneumoperitoneum and surgical emphysema restricted to the left side of the abdomen and the left inguinoscrotal area. Exploratory laparotomy revealed flakes over the gut a various places but mostly confined to the lesser sac, especially on the posterior surface of the stomach. The exact site of perforation could not be located. The anterior wall of the lesser sac was torn and the surgical emphysema was perhaps the result of the air being squeezed from the lesser sac into the retroperitoneal tissue plane, which later manifested itself at the anterior abdominal wall, flank, loin, back and the left inguinoscrotal region.
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