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The third patient had a pseudo-obstruction of the transverse colon. The fourth patient had a tension pneumoperitoneum with associated surgical emphysema in the neck and subcutaneous tissues of the abdomen and chest walls, following perforation of a duodenal ulcer. The aetiology, presentation and management, together with the mechanism of tension pneumoperitoneum, are discussed.<\/jats:p>","DOI":"10.1002\/bjs.1800631111","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T12:48:42Z","timestamp":1172839722000},"page":"877-880","source":"Crossref","is-referenced-by-count":13,"title":["Tension pneumoperitoneum: A report of 4 cases"],"prefix":"10.1093","volume":"63","author":[{"given":"N V","family":"Addison","sequence":"first","affiliation":[{"name":"Royal Infirmary , Bradford"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A C","family":"Broughton","sequence":"additional","affiliation":[{"name":"Royal Infirmary , Bradford"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1976,11,1]]},"reference":[{"key":"2024101614184685200_bib1","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1002\/bjs.18004619822","article-title":"Tension pneumoperitoneum. 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