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Pneumoretroperitoneum following acupuncture.

Jin Ki Hwang1, Juhyung Kim, Beom Jae Lee

  • 1Department of Gastroenterology, Korea University Guro Hospital, Seoul, Korea.

Journal of Alternative and Complementary Medicine (New York, N.Y.)
|November 27, 2008
PubMed
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Pneumoretroperitoneum, a rare condition involving air in the retroperitoneum, can occur after acupuncture. This case report details a patient who developed this complication following acupuncture treatment for low back pain.

Area of Science:

  • Medical Case Reports
  • Acupuncture Safety
  • Iatrogenic Complications

Background:

  • Pneumoretroperitoneum is an uncommon condition often linked to infection, trauma, or medical procedures.
  • Acupuncture is generally safe, but rare iatrogenic complications have been documented.
  • This report focuses on a unique instance of pneumoretroperitoneum following acupuncture.

Observation:

  • A 25-year-old female experienced fever and right flank pain after acupuncture for low back pain.
  • Radiography and CT scans revealed retroperitoneal air adjacent to the right psoas muscle.
  • The patient received antibiotic and analgesic treatment.

Findings:

  • This case represents the first documented instance of pneumoretroperitoneum after acupuncture.

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  • Follow-up CT scans confirmed the resolution of retroperitoneal air after treatment.
  • The complication resolved with conservative management.

    • Implications:

    • Highlights the potential for rare complications even with generally safe procedures like acupuncture.
    • Emphasizes the importance of considering iatrogenic causes for pneumoretroperitoneum.
    • Suggests the need for heightened awareness among practitioners regarding potential risks associated with acupuncture.