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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 53-Year-Old Woman With a Myocardial Infarction, Hypotension, and Abdominal Distension

Matthew McNeill, MD, CPT, MC, USA; Eric Hill, MD, CPT, MC, USA; Christopher Humphreys, MD, MAJ, MC, USA
Author and Funding Information

*From the Internal Medicine Residency (Dr. McNeill), and Pulmonary Disease Service (Dr. Humphreys), Department of Medicine, and Emergency Medicine Residency (Dr. Hill), Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, TX.

Correspondence to: Matthew McNeill, MD, CPT MC, USA, William Beaumont Army Medical Center, 5005 N Piedras St, Ft. Bliss, TX 79920; e-mail: matthew.mcneill@amedd.army.mil


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(2):554-557. doi:10.1378/chest.08-2224
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Extract

A 53-year-old woman presented to the emergency department with a history of substernal chest pain and dyspnea for 1 h. Her medical history was significant for hypertension, severe thoracic kyphoscoliosis, and idiopathic deep venous thromboembolism. She was currently not receiving any medications.

ClinchSLThompsonJSEdneyJAPneumoperitoneum after cardiopulmonary resuscitation: a therapeutic dilemmaJ Trauma198323428430KaramanADemirbilekSAkinMDoes pneumoperitoneum always require laparatomy? Report of six cases and review of literaturePediatr Surg Int2005218198241MilanchiSApproach to pneumoperitoneum after cardiopulmonary resuscitationJ Trauma200661155215531MularskiRACiccoloMLRappaportWDNonsurgical causes of pneumoperitoneumW J Med199917041461MularskiRASippelJMOsborneMLPneumoperitoneum: a review of nonsurgical causesCrit Care Med200028263826441SucatoDJGirgisMBilateral pneumothoraces, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema following intubation with a double-lumen endotracheal tube for thoracoscopic anterior spinal release and fusion in a patient with idiopathic scoliosisJ Spinal Disord Tech2002151331381TurnerWWFryWJPneumoperitoneum complicating mechanical ventilationArch Surg1977112723726

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