{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T23:53:15Z","timestamp":1771026795848,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pneumoperitoneum is most commonly caused by perforation of a hollow viscus but can also result as an extension of pneumothorax and\/or pneumomediastinum. We present a case of pneumoperitoneum preceded by intraprocedural hemoptysis and tension pneumothorax that developed during transbronchial needle aspiration using robot-assisted flexible bronchoscopy. After stabilization and management of the pneumothorax, diagnostic laparoscopy was performed and revealed no evidence of diaphragmatic or intra-abdominal perforation but showed diffuse emphysematous changes in the gastrohepatic ligament, small and large bowel mesentery, and preperitoneal space. These findings suggest the implication of subserosal and preperitoneal emphysema as the pathophysiological mechanism of pneumoperitoneum and pneumothorax complicating bronchoscopy procedures.<\/jats:p>","DOI":"10.1093\/jscr\/rjad732","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T09:05:28Z","timestamp":1705741528000},"source":"Crossref","is-referenced-by-count":3,"title":["Emphysematous changes in pneumoperitoneum and tension pneumothorax following robot-assisted bronchoscopy: a case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4706-7034","authenticated-orcid":false,"given":"Richard Q","family":"Vuong","sequence":"first","affiliation":[{"name":"Undergraduate Medical Education , Larner , Burlington, VT 05405, United States"},{"name":"College of Medicine at the University of Vermont , Larner , Burlington, VT 05405, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn T","family":"Liechty","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Danbury Hospital , Danbury, CT 06810, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D","family":"Nicoara","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Danbury Hospital , Danbury, CT 06810, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"2024012009051312400_ref1","first-page":"8","article-title":"Incidence of complications in bronchoscopy. Multicentre prospective study of 20,986 bronchoscopies","volume":"71","author":"Facciolongo","year":"2009","journal-title":"Monaldi Arch Chest Dis"},{"key":"2024012009051312400_ref2","doi-asserted-by":"crossref","first-page":"12717","DOI":"10.12998\/wjcc.v10.i34.12717","article-title":"How to manage isolated tension non-surgical pneumoperitoneum during bronchoscopy? A case report","volume":"10","author":"Baima","year":"2022","journal-title":"World J Clin Cases"},{"key":"2024012009051312400_ref3","first-page":"131","article-title":"Pneumoperitoneum complicating bronchoscopy","volume":"5","author":"Nikolaev","year":"2003","journal-title":"IMAJ"},{"key":"2024012009051312400_ref4","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/MAJ.0b013e3182019f7a","article-title":"The air apparent: a rare complication during flexible bronchoscopy","volume":"341","author":"Abraham","year":"2011","journal-title":"Am J Med Sci"},{"key":"2024012009051312400_ref5","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.hrtlng.2009.10.001","article-title":"Spontaneous pneumomediastinum and subcutaneous emphysema in asthma exacerbation: the Macklin effect","volume":"39","author":"Romero","year":"2010","journal-title":"Heart Lung"},{"key":"2024012009051312400_ref6","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.athoracsur.2021.06.086","article-title":"Ion: technology and techniques for shape-sensing robotic-assisted bronchoscopy","volume":"113","author":"Reisenauer","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"2024012009051312400_ref7","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1016\/j.chest.2020.08.2047","article-title":"Robotic bronchoscopy for peripheral pulmonary lesions: a Multicenter pilot and feasibility study (BENEFIT)","volume":"159","author":"Chen","year":"2021","journal-title":"Chest"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjad732\/56249023\/rjad732.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjad732\/56249023\/rjad732.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T09:05:39Z","timestamp":1705741539000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad732\/7516946"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad732","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2024,1]]},"article-number":"rjad732"}}