Tension Pneumoperitoneum Following Instrumental Perforation of an Obstructed Esophagus in an Infant.

A 4-month-old infant was diagnosed with esophageal atresia and tracheoesophageal fistula.He was admitted to our hospital because of progressive poor findings and repeatedaspiration pneumonia after surgical repair. An esophagogram demonstrated severeesophageal stricture. Flexible endoscopic dilatation was performed under general anesthesia,but sudden onset respiratory distress and progressive abdominal distention were noted duringthe procedure. Abdominal radiographic study revealed severe pneumoperitoneum.Tension pneumoperitoneum after perforation of the obstructed esophagus is extremely rarebut life threatening. We herein report our experience with the successful management of thiscomplication in an infant.