Pneumoperitoneum

Prittie, Jennifer; Ludwig, Lori

doi:10.1002/9781119693741.ch22

Cited by 1 publication

(1 citation statement)

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“…'Pneumoperitoneum' refers to the presence of free gas in the peritoneal cavity, outside the visceral organs [1]. It is most commonly caused by a perforated hollow viscus or post-trauma [2], leading to clinical manifestations such as abdominal pain, tenderness, and signs of peritonitis [3], often requiring urgent surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Navigating Asymptomatic Idiopathic Pneumoperitoneum: A Case Report and a Literature Review

Mahmoud Daoud,

Daoud,

Almansoor

et al. 2024

Cureus

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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-yearold male referred to the emergency department after a seizure episode. The patient reported no abdominal pain or fever, and examination revealed no other signs of peritonitis. An erect chest X-ray showed air under the diaphragm, and a subsequent computed tomography (CT) scan confirmed free intraperitoneal air in the abdomen. The patient underwent a prompt exploratory laparotomy to assess for abdominal perforation, but the findings were negative. He had an uneventful post-operative hospital course and was discharged nine days after admission. This case underlines the importance of considering spontaneous idiopathic pneumoperitoneum (SIP) in asymptomatic patients and discusses management options.

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Section: Introductionmentioning

confidence: 99%