Navigating Asymptomatic Idiopathic Pneumoperitoneum: A Case Report and a Literature Review.
| Autor: | Mahmoud Daoud R; School of Medicine, Royal College of Surgeons of Ireland (RCSI), Busaiteen, BHR., Daoud SM; General Practice, Albaraka Fertility Hospital, Manama, BHR., Almansoor M; School of Medicine, Royal College of Surgeons in Ireland, Busaiteen, BHR., Ali NF; General Surgery, Salmaniya Medical Complex, Manama, BHR., Salman ES; General Surgery, Salmaniya Medical Complex, Manama, BHR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 06; Vol. 16 (3), pp. e55687. Date of Electronic Publication: 2024 Mar 06 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.55687 |
| Abstrakt: | 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. 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. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Mahmoud Daoud et al.) |
| Databáze: | MEDLINE |
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