Idiopathic Spontaneous Pneumoperitoneum: a case description and emergency department management.

Contenido principal del artículo

Autores

Juan Camilo Cardona
Paula Vélez
Juliana Ordóñez

Resumen

Spontaneous pneumoperitoneum is the presence of free air in abdominal cavity, usually related with hollow organ injury. It is considered idiopathic if there are no causes identified. We present a woman’s case, with no important comorbidities, who went to the Emergency Department for abdominal pain with inespecific caractheristics, with main finding of pneumoperitoneum after studies.
Through radiologic Evaluation we ruled out intestinal structural compromiso and managed her case in a conservative manner with success. Spontaneous pneumoperitoneum is the presence of free air or gas in abdominal (peritoneal) cavity, usually related with hollow-organ injury. It is considered idiopathic if there are no identified causes. We present a woman’s case, with no important comorbidities, who went to the Emergency Department for abdominal pain with inespecific caractheristics, with a main finding of pneumoperitoneum after studies. Through radiologic evaluation we ruled out intestinal structural commitment and managed her case in a conservative manner with success.

Detalles del artículo

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Derechos de autor 2018 Juan Camilo Cardona, Paula Vélez, Juliana Ordoñez

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Referencias

Mann CM, Bhati CS, Gemmell D, Doyle P, Gupta V. Spontaneous pneumoperitoneum : Diagnostic and management difficulties. Case report. 2010. Dec; 22(6):568-70

Williams NM, Watkin DF. Spontaneous pneumoperitoneum and other
nonsurgical causes of intraperitoneal free gas. Postgrad Med J. 1997. Sep;73(863):531-7

Law-Courter J, Frank L, Townes D. A case of spontaneous pneumoperitoneum. Am J Emerg Med. 2005;23(3):398–9.

Lewinson RT, Lewinson RE, Graves PS. Spontaneous pneumoperitoneum with subcutaneous emphysema. 2016;2:1–2.

Pitiakoudis M, Zezos P, Oikonomou A, Kirmanidis M, Kouklakis G, Simopoulos C. Spontaneous idiopathic pneumoperitoneum presenting as an acute abdomen : a case report. J Med Case. 2011. Feb; 27(5): 86.

Mularski RA, Sippel JM, Osborne ML. Pneumoperitoneum: A review of nonsurgical causes. Crit Care Med. 2000 Jul;28(7):2638-44.

Yamana I, Noritomi T, Takeno S, Tatsuya H, Sato K, Shimaoka H, Yamaguchi R, Ishii F, Yamada T, Yamashita Y. Spontaneous Pneumoperitoneum due to Constipation. Case Rep Gastroenterol. 2015 Nov 14;9(3):361-5

Clements WDB, Gunna BR, Archbold JAA, Parks TG. Idiopathic spontaneous pneumoperitoneum - avoiding laparotomy - a case report. Ulster Med J. 1996;65(1):84–6.

Rodrigues de Freitas Junior W, Malheiros CA, Kassab P, Ilias EJ. Idiopathic spontaneous pneumoperitoneum. Rev Assoc Med Bras. 2011;57(6):2011.

IM Shapey, T Nasser, P Dickens, M Haldar, MH Solkar. Spontaneously perforated pyometra: an unusual cause of acute abdomen and pneumoperitoneum. Ann R Coll Surg Engl. 2012 Nov; 94(8): e246–e248

Eenhuis LL, de Lange ME, Samson AD, Busch ORC. Spontaneous Bacterial Peritonitis due to Actinomyces Mimicking a Perforation of the Proximal Jejunum. The American Journal of Case Reports. 2016;17:616-620.

De Smet R, De Paepe P, Buylaert W, Idrissi SH. Spontaneous tension pneumoperitoneum presenting as an out of hospital cardiac arrest: A case report and review of the literature. Acta Clin Belg 2016;71(4):258-262.

Carzolio-Trujillo, Héctor Alejandro; Navarro-Tovar, Fernando; Padilla-Gómez, César Isaac; Hernández-Martínez, Iván Arturo; Herrera-Enríquez, Javier. Trauma contuso de tórax con neumomediastino y neumoperitoneo secundario a efecto Macklin. Reporte de un caso. Cirugia y Cirujanos. 2016; 84(5):409-14.

Peña-Ros E, Méndez-Martínez M, Vicente-Ruiz M, Sánchez-Cifuentes Á, Martínez-Sanz N, Albarracín Marín-Blázquez A. Neumoperitoneo por absceso esplénico: un reto diagnóstico. Reporte de un caso. Cirugia y Cirujanos. 2015; 83(5):433-7.

Kuczia M, Kurowska M, Kubica B. Spontaneous Pneumoperitoneum in a Patient After Ventilation Therapy. Polish Journal of Surgery. 2015; 86(12):601-3.

Narra RK, Jehendran MV. Ruptured splenic abscess causing pneumoperitoneum: a rare cause revisited. BMJ Case Reports. 2015; Mar 20.

Sucandy I, M.D., Gallagher S, M.D., Josloff RK, M.D., Nussbaum ML, M.D. Severe Clostridium Infection of Liver Metastases Presenting as Pneumoperitoneum. Am Surg 2012;78(7):E338-9

Kim JH, Jung ES, Jeong SH, et al. A case of emphysematous hepatitis with spontaneous pneumoperitoneum in a patient with hilar cholangiocarcinoma. The Korean Journal of Hepatology 2012;18(1):94-97.

El Ramli R, Koulaouzidis A, Godfrey H, Gasem J. Rupture of a big ovarian cyst and pneumoperitoneum post-colonoscopy and endoscopic mucosal resection. Arab J Gastroenterol. 2011 Sep;12(3):154-5.

Vischio J, Matlyuk-Urman Z, Lakshminarayanan S. Benign spontaneous pneumoperitoneum in systemic sclerosis. J Clin Rheumatol. 2010
Dec;16(8):379-81.

Aganovic L, Lee YK, Chu PK, Cassidy FH. Recurrent non-surgical pneumoperitoneum due to jejunal diverticulosis. J Emerg Med. 2012 Sep;43(3):e175-9.

Al-Mufarrej F, Gharagozloo F, Tempesta B, Margolis M. Spontaneous cervicothoracolumbar pneumorrhachis, pneumomediastinum and pneumoperitoneum. Clin Respir J. 2009 Oct;3(4):239-43.

Garrido F, Sancho E, Gasz A, Menéndez Sanchez P, Gambí Pisonero D. Pneumoperitoneum secondary to spontaneous gaseous gangrene of the pancreas due to Klebsiella sp. Gastroenterol Hepatol. 2009 Oct;32(8):585-6

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