Abstract

Peroral endoscopic myotomy (POEM) is a newly developed endoscopic intervention for esophageal achalasia. We present a case of a patient undergoing POEM, who suffered intra operative hemodynamic collapse due to massive pneumomediastinum as well as massive pneumoperitoneum requiring emergent needle decompression. Key words: Peroral endoscopic myotomy; Endoscopic; Pneumomediastinum; Pneumoperitoneum; Needle decompression Citation: Dhoon TQ, Wei-Chen L, Rajan GRC, Vaughn D. Massive pneumomediastinum and pneumoperitoneum during peroral endoscopic myotomy. Anaesth. pain intensive care 2021;25(4):523–526. DOI: 10.35975/apic.v25i4.1586

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