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Updated: Jun 23, 2025

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Published on: April 7, 2023
Tension Pneumoperitoneum: A Rare Complication of Cardiopulmonary Resuscitation (CPR)
M Samee1, A Samee2,3, Y Zubair2
1General Medicine, University Hospital of North Midlands, Stoke On Trent, GBR.
Abstract:
Tension pneumoperitoneum is a surgical emergency. Although rare, failure to diagnose and treat the condition may be lethal. Hence, being aware of this phenomenon, particularly in scenarios involving cardiopulmonary resuscitation (CPR), is important. Existing literature emphasises immediate abdominal needle decompression as the initial management followed by close monitoring and keeping a low threshold for surgical intervention as a definitive measure. We decided to write up this case report to raise awareness that a tension pneumoperitoneum can result as a complication of CPR, a well-known and widely practiced algorithm.
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