Pneumoperitoneum from pneumomediastinum in paraquat poisoning

Author:

James Noel1,Bakshi Rohit1,Rudresh SS1,Kaushik Karanti2,Ghumaan Kanwarnavjot Singh2,Pannu Ashok Kumar3ORCID

Affiliation:

1. Senior Resident, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

2. Junior Resident, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

3. Assistant Professor, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Abstract

Pneumomediastinum is not uncommon in paraquat poisoning and usually results from oesophageal perforation or alveolar rupture in fibrotic lung disease. However, the combined presentation of pneumomediastinum and pneumoperitoneum is a rarity. We recently managed a young patient with paraquat ingestion who developed spontaneous pneumomediastinum. His chest radiograph also showed free air under the right hemidiaphragm. This pneumoperitoneum caused no clinical symptom and resolved spontaneously within a few days without any surgical intervention.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

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