Decompressive Laparotomy for Pneumoperitoneum

A 65-year-old woman who had undergone colonoscopy with removal of polyps became unresponsive at the end of the procedure. The abdomen was massively distended, tympanitic, and tender to palpation. The patient underwent a decompressive laparotomy. PCI is known to relieve angina in patients with stable ischemic heart disease, but does it prolong survival? Recent research findings are summarized in this new Quick Take video. Factor Xa inhibitors, used to prevent and treat thromboembolism, can cause bleeding. Andexanet was designed to reverse the anticoagulant effects of these inhibitors. Is andexanet efficacious? New research findings are summarized in this short video. See the NEJM article, “Tension Pneumoperitoneum“: