TENSION PNEUMOPERITONEUM IS DESCRIBED AS AN EXTREME FORM OF PNEUMOPERITONEUM IN WHICH A LARGE VOLUME OF FREE INTRAPERITONEAL AIR ATTAINS A HIGH PRESSURE , REQUIRING URGENT INTERVENTION[1]. VARIOUS IATROGENIC PROCEDURES LIKE ENDOSCOPY ARE RESPONSIBLE FOR THIS COMPLICATION. IT IS USUALLY CAUSED BY INTRAABDOMINAL HOLLOW VISCERAL PERFORATION DURING ENDOSCOPY, BARIATIC SURGERY, BLUNT ABDOMINAL TRAUMA OR BAROTRAUMA DURING MECHANICAL VENTILATION.[2] WE HEREIN REPORT A RARE CASE OF TENSION PNEUMOPERITONEUM RESULTING FROM ACCUMULATION OF COMPRESSIVE GASES IN THE ABDOMEN OF A LABOURER WORKING IN A RUBBER MAT FACTORY WHOSE COLLEAGUE INTRODUCED THE GAS PER RECTALLY.
THE DIAGNOSIS IS WITH CLINICAL ACCUMEN, AND PROMPT DIAGNOSIS IS NECESSARY TO PROVIDE A TIMELY LIFE SAVING INTERVENTION. IT SHOULD BE CONSIDERED IN ANY PATIENT PRESENTING WITH SIGNS OF CIRCULATORY SHOCK AND A DISTENDED, TENSE ABDOMEN