Massive pneumomediastinum and pneumoperitoneum during peroral endoscopic myotomy

  • Taizoon Q Dhoon 333 City Blvd. West, Suite 2150 Orange, CA 92868, USA.
  • Wei-Chen Ln 333 City Blvd. West, Suite 2150 Orange, CA 92868, USA.
  • Douglas Vaughn 333 City Blvd. West, Suite 2150 Orange, CA 92868, USA.
  • Govind RC. Rajan 333 City Blvd. West, Suite 2150 Orange, CA 92868, USA.
DOI: https://doi.org/10.35975/apic.v25i4.1586
Keywords: Peroral endoscopic myotomy, Endoscopic, Pneumomediastinum, Pneumoperitoneum, Needle decompression

Abstract

Peroral endoscopic myotomy (POEM) is a newly developed endoscopic intervention for esophageal achalasia. We present a case of a patient undergoing POEM, who suffered intra operative hemodynamic collapse due to massive pneumomediastinum as well as massive pneumoperitoneum requiring emergent needle decompression.

Key words: Peroral endoscopic myotomy; Endoscopic; Pneumomediastinum; Pneumoperitoneum; Needle decompression

Citation: Dhoon TQ, Wei-Chen L, Rajan GRC, Vaughn D. Massive pneumomediastinum and pneumoperitoneum during peroral endoscopic myotomy. Anaesth. pain intensive care 2021;25(4):523–526. DOI: 10.35975/apic.v25i4.1586

Published
08-04-2021
Issue
Vol 25 No 4 (2021): July-August
Section
Case Reports

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