{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T22:50:18Z","timestamp":1770418218196,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spontaneous pneumoperitoneum in a patient with a tracheostomy tube following cardiopulmonary resuscitation is exceedingly rare, with little experimental nor observational data to guide evidence-based management. We present the case of a 75-year-old woman with a tracheostomy tube who developed pneumoperitoneum following CPR. The patient experienced pulseless electrical activity arrest requiring nine rounds of chest compressions to return to spontaneous circulation. Computerized tomography demonstrated pneumothoraces, subcutaneous emphysema and extensive intraperitoneal, extraperitoneal and retroperitoneal free air without evidence of visceral perforation. The patient\u2019s abdomen was distended without tenderness, guarding or rebound. She had a white blood cell count mildly elevated from her baseline levels. The management plan of serial abdominal exams without operative intervention was chosen given the absence of clinical and laboratory signs of peritonitis. This case highlights the importance of developing a standardized management algorithm for patients with pneumoperitoneum in the setting of tracheostomy tubes without evidence of perforation.<\/jats:p>","DOI":"10.1093\/jscr\/rjac219","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T11:12:14Z","timestamp":1651230734000},"source":"Crossref","is-referenced-by-count":2,"title":["Non-operative management of pneumoperitoneum following cardiopulmonary resuscitation"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7407-0760","authenticated-orcid":false,"given":"Christopher L","family":"Johnson","sequence":"first","affiliation":[{"name":"School of Medicine, University of California San Francisco, San Francisco, CA 94143, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camilla","family":"Gomes","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California San Francisco, San Francisco, CA 94143, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, CA 94143, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carter C","family":"Lebares","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California San Francisco, San Francisco, CA 94143, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,18]]},"reference":[{"key":"2022051817352043400_ref1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1136\/pgmj.73.863.531","article-title":"Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas","volume":"73","author":"Williams","year":"1997","journal-title":"Postgrad Med J"},{"key":"2022051817352043400_ref2","first-page":"358","article-title":"Pneumoperitoneum as a complication of cardiopulmonary resuscitation","volume-title":"Am J Emerg Med","author":"Hargarten","year":"1988"},{"key":"2022051817352043400_ref3","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S0736-4679(01)00357-2","article-title":"Gastric rupture and massive pneumoperitoneum after bystander cardiopulmonary resuscitation","volume":"21","author":"Offerman","year":"2001","journal-title":"J Emerg Med"},{"key":"2022051817352043400_ref4","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.resuscitation.2009.11.023","article-title":"Gastric perforation after cardiopulmonary resuscitation: review of the literature","volume":"81","author":"Spoormans","year":"2010","journal-title":"Resuscitation"},{"key":"2022051817352043400_ref5","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.ijscr.2017.12.014","article-title":"Tension pneumoperitoneum after bystander cardiopulmonary resuscitation: a case report","volume":"42","author":"Johnson","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2022051817352043400_ref6","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S0196-0644(83)80381-3","article-title":"Tension pneumoperitoneum and gastric rupture following cardiopulmonary resuscitation","volume":"12","author":"Mills","year":"1983","journal-title":"Ann Emerg Med"},{"key":"2022051817352043400_ref7","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s00383-005-1489-3","article-title":"Does pneumoperitoneum always require laparotomy? Report of six cases and review of the literature","volume":"21","author":"Karaman","year":"2005","journal-title":"Pediatr Surg Int"},{"key":"2022051817352043400_ref8","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1097\/01.ta.0000235972.29439.5d","article-title":"Approach to pneumoperitoneum after cardiopulmonary resuscitation","volume":"61","author":"Milanchi","year":"2006","journal-title":"J Trauma Inj Infect Crit Care"},{"key":"2022051817352043400_ref9","first-page":"8","article-title":"A rare cause of pneumoperitoneum","volume-title":"J Surg Case Rep","year":"2011"},{"key":"2022051817352043400_ref10","doi-asserted-by":"crossref","first-page":"2638","DOI":"10.1097\/00003246-200007000-00078","article-title":"Pneumoperitoneum: a review of nonsurgical causes","volume":"28","author":"Mularski","journal-title":"Crit Care Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/5\/rjac219\/43749731\/rjac219.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/5\/rjac219\/43749731\/rjac219.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T17:35:36Z","timestamp":1652895336000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac219\/6587965"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,1]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac219","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,5]]},"published":{"date-parts":[[2022,5,1]]},"article-number":"rjac219"}}