How to manage isolated tension non-surgical pneumoperitonium during bronchoscopy? A case report

Figure 1 Chest and abdomenal computed tomography scan of the patient on day 1, day 8, and day 9. A and B: Thoracic enhanced computed tomography (CT)-scan on admission showed infiltration and fibrotic foci were scattered in the bilateral pulmonary lobe, with localized consolidation of the right lower lobe, and bilateral pleural effusions; C-F: Thoracic and abdominal CT-scan on day 8 taken after needle decompression demonstrating the presence of a large anterior pneumoperitoneum without fluid collections and pneumothorax or pneumomediastinium; G and H: Abdominal enhanced CT-scan on day 9 showed gas accumulation in the right abdominal wall, free gas in the abdominal cavity is less than in the previous CT exam.

Figure 2 Protocol for the management of pneumoperitonium during bronchoscopy. BSP: Bronchoscopy; MV: Mechanical ventilation; CT: Computed tomography.