We report the case of a 48-year-old man who was admitted to the intensive care unit for acute respiratory distress. After discharge, the patient showed massive pneumoperitoneum. None of the complementary investigations provided information on the cause. The patient underwent surgery but no intraoperative diagnosis was reached. We believe that this case is of interest since pneumoperitoneum is a frequent entity that often leads to emergency laparotomy. The cause is usually perforation, although in a substantial proportion of cases the pneumoperitoneum is non-surgical, or idiopathic.
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http://dx.doi.org/10.1016/s0009-739x(05)70901-5 | DOI Listing |
J Surg Case Rep
November 2024
General Surgery Department, Unidade Local de Saúde de Lisboa Ocidental, E.P.E., Estrada Forte do Alto Duque, 1449-005, Lisboa, Portugal.
Pneumoperitoneum, characterized by the presence of air in the peritoneal cavity, is usually associated with severe clinical conditions, such as perforations of hollow viscera, often requiring urgent surgical intervention. However, in rare cases, pneumoperitoneum occurs without an identifiable cause, thus classified as idiopathic pneumoperitoneum. We present two clinical cases of women who developed pneumoperitoneum after extensive gynecological surgeries.
View Article and Find Full Text PDFAnn Med Surg (Lond)
August 2024
Diagnostic Auxiliary Services, Beneficencia Española de la Laguna, Torreón.
Introduction: Idiopathic gastroparesis (GP) is a syndrome characterized by delayed gastric emptying in the absence of a mechanical obstruction and the presence of cardinal symptoms, spontaneous idiopathic pneumoperitoneum is the presence of free air in the abdomen with the exclusion of a perforated viscera on endoscopy; both diseases have a low prevalence in which no detectable primary etiology can be identified. The authors present the case of a 44-year-old female with both diseases occurring simultaneously.
Presentation Of Case: A 44-year-old female without relevant prior medical history, presented to the emergency room with intense abdominal pain in all four quadrants, on superficial and deep palpation.
Pediatr Neonatol
November 2024
Pediatric Surgery Department, Nancy Regional University Hospital Center: Children's Hospital Center, 8 Rue Du Morvan, 54500, Vandoeuvre-Les-Nancy, France.
Cureus
March 2024
General Surgery, Salmaniya Medical Complex, Manama, BHR.
Pneumoperitoneum refers to the presence of free air in the abdominal cavity, typically indicating viscus perforation requiring urgent surgical intervention. Occasionally, pneumoperitoneum occurs without organ perforation, termed 'spontaneous' or 'non-surgical' pneumoperitoneum. We present the case of a 65-year-old male referred to the emergency department after a seizure episode.
View Article and Find Full Text PDFInt J Surg Case Rep
April 2024
College of Medicine, University of Cincinnati, Cincinnati, OH, USA; Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Introduction And Importance: Acute colonic pseudo-obstruction (ACPO) is an uncommon phenomenon that is especially rare in young patients and can result in bowl ischemia and perforation if left untreated. Furthermore, pneumoperitoneum is almost always a concerning imaging finding and in the context of recent colonic resection may be a sign of anastomotic leakage.
Case Presentation: We describe a case of a young female patient with postpartum ACPO who subsequently underwent a hemicolectomy with colorectal anastomosis.
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