Neumoperitoneo hipertensivo y síndrome compartimental abdominal causado por perforación de un vólvulo gástrico

Introduction: Hypertensive pneumoperitoneum is an extraordinary event. It has been reported in neonates and toddlers, associated with intestinal perforation due to necrotizing enterocolitis or to intussusception. However, secondary abdominal compartment syndrome is quite unusual. Case report: A 10 year-old female presented with abdominal pain. She developed abdominal distention and hemodynamic instability. A laparotomy was performed and a gastric perforation secondary to a gastric volvulus was found. The gastric perforation was repaired and a gastrostomy was performed. At one year of the surgery, the patient is recovering well.