Massive pneumoperitoneum causing abdominal compartment syndrome

A 79-year-old male with a history of known inguinal hernia presented to the ED with report of urinary retention. The patient stated that he had not voided since the preceding night. He reported associated sharp, diffuse abdominal pain that was worsened with deep inspiration. He was nontoxic appearing on arrival. His initial vital signs were significant for a heart rate of 96  bpm, blood pressure of 118/73 mmHg, respiratory rate of 18 breaths per minute, and an oral temperature of 97.6 degrees Fahrenheit.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research