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The Annals of Thoracic Surgery, Vol 57, 478-481, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Tension pneumoperitoneum after heart-lung transplantation

RE Schwarz, SM Pham, MI Bierman, KW Lee and BP Griffith
Department of Surgery, University of Pittsburgh Medical Center, Pennsylvania.

Tension pneumoperitoneum is a medical emergency. We report 2 cases in which tension pneumoperitoneum occurred after heart-lung transplantation and was related to positive-pressure ventilation and a transdiaphragmatic passage of omentum used to wrap the airway anastomosis. Management in these patients was targeted toward decompression of intraperitoneal air with percutaneous needle or tube placement without exploratory laparotomy, and tube thoracostomy for the concomitant pneumothorax.

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