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In this report we present a case of jejunal perforation during an upper gastrointestinal endoscopy that resulted in tension physiology with mesenteric ischemia, severe acidosis, renal failure, coagulopathy and massive gastrointestinal hemorrhage. The patient had a sudden onset of shock as soon as her abdomen was decompressed, indicating that she possibly developed a reperfusion injury. She did not respond to resuscitative efforts and ultimately died.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa401","type":"journal-article","created":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T12:14:23Z","timestamp":1604924063000},"source":"Crossref","is-referenced-by-count":1,"title":["Tension pneumoperitoneum following upper endoscopy"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7745-4559","authenticated-orcid":false,"given":"Catherine","family":"Denkler","sequence":"first","affiliation":[{"name":"Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helene M","family":"Sterbling","sequence":"additional","affiliation":[{"name":"Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hani","family":"Seoudi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"2020111223060845400_ref1","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/1471-230X-11-48","article-title":"Emergency percutaneous needle decompression for tension pneumoperitoneum","volume":"11","author":"Chiapponi","year":"2011","journal-title":"BMC Gastroenterol"},{"key":"2020111223060845400_ref2","doi-asserted-by":"crossref","first-page":"495","DOI":"10.4293\/108680812X13462882736655","article-title":"Tension pneumoperitoneum: a rare complication of upper gastrointestinal endoscopy","volume":"16","author":"Symeonidis","year":"2012","journal-title":"JSLS"},{"key":"2020111223060845400_ref3","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.ijscr.2019.01.014","article-title":"Tension pneumoperitoneum: case report of a rare form of acute abdominal compartment syndrome","volume":"55","author":"Cadena","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2020111223060845400_ref4","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/S0929-6646(09)60142-X","article-title":"Tension pneumoperitoneum following upper gastrointestinal endoscopy","volume":"105","author":"Lu","year":"2006","journal-title":"J Formos Med Assoc"},{"key":"2020111223060845400_ref5","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4103\/0974-2700.82224","article-title":"Abdominal compartment syndrome - intra-abdominal hypertension: defining, diagnosing, and managing","volume":"4","author":"Papavramidis","year":"2011","journal-title":"J Emerg Trauma Shock"},{"key":"2020111223060845400_ref6","doi-asserted-by":"crossref","first-page":"1808","DOI":"10.1007\/s00134-016-4446-9","article-title":"Dramatic vascular compression by tension pneumoperitoneum","volume":"42","author":"Launey","year":"2016","journal-title":"Intensive Care Med"},{"key":"2020111223060845400_ref7","first-page":"657","article-title":"Acute intestinal distress syndrome: the importance of intra-abdominal pressure","volume":"74","author":"Malbrain","year":"2008","journal-title":"Minerva Anestesiol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/11\/rjaa401\/34284696\/rjaa401.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/11\/rjaa401\/34284696\/rjaa401.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T04:06:14Z","timestamp":1605240374000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa401\/5974952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,1]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa401","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,11]]},"published":{"date-parts":[[2020,11,1]]},"article-number":"rjaa401"}}