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case_images: Chest X-ray at ICU admission after airway management and mechanical ventilation. It showed bilateral air collections in subphrenic areas (see arrows)
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case_images: The chest X-ray showed bilateral collections of air in the subphrenic areas without pneumothorax nor pneumomediastinum (Figure 1).
case_images: Thoraco-abdominal computed tomography scan performed one hour after the occurrence of the abdominal distension. It revealed a massive pneumoperitoneum, without intraperitoneal effusion, pneumothorax or pneumomediastinum
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case_images: Thoraco-abdominal computed tomography scan was performed immediately and revealed a massive PP, without intraperitoneal effusion, pneumothorax nor pneumomediastinum (Figure 2).
case_images: Chest X-ray at day 1 of surgical intervention. It showed significant regression of pneumoperitoneum (see arrows)
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case_images: There was also a significant regression of PP at physical examination and persistence of a simple air crescent on the chest X-ray at day 1 (Figure 3) and complete resolution at day 3 of the postoperative period without recurrence.