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{
    "pk": 1239,
    "title": "A Case Report of Pneumoretroperitoneum from Blunt Trauma in a Patient with Chronic Obstructive Pulmonary Disease",
    "subtitle": null,
    "abstract": "<b>Introduction:</b> Pneumomediastinum is a rare complication of blunt traumatic injury and is thought to be due to the Macklin effect, a pathophysiologic process comprised of three steps: alveolar rupture secondary to blunt injury; air dissecting along bronchovascular sheaths; and spread of pulmonary interstitial edema into the mediastinal space. Pneumomediastinum is rarely associated with pneumoretroperitoneum.<br><p><br></p><p><b>Case Report: </b>We present a case of a patient who suffered a cardiac arrest after a fall during a chronic obstructive pulmonary disease exacerbation, leading to pneumoretroperitoneum.</p><p><br></p><p><b>Conclusion:</b> This case highlights the complications that can arise from blunt trauma and how underlying lung pathology can worsen these complications. <br></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "Pneumoretroperitoneum"
        },
        {
            "word": "pneumomediastinum"
        },
        {
            "word": "blunt trauma"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7px530g7",
    "frozenauthors": [
        {
            "first_name": "Annemarie",
            "middle_name": "",
            "last_name": "Daecher",
            "name_suffix": "",
            "institution": "Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": ""
        },
        {
            "first_name": "Brittany",
            "middle_name": "",
            "last_name": "Hartman",
            "name_suffix": "",
            "institution": "Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": ""
        },
        {
            "first_name": "James",
            "middle_name": "",
            "last_name": "Krueger",
            "name_suffix": "",
            "institution": "Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania; Albert Einstein Medical Center, Department of Toxicology, Philadelphia, Pennsylvania",
            "department": ""
        }
    ],
    "date_submitted": "2023-03-24T19:31:31.990000Z",
    "date_accepted": "2023-08-03T18:23:01.344000Z",
    "date_published": "2023-10-18T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1239/galley/2039/download/"
    },
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1239/galley/2039/download/"
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    ]
}