Asymptomatic pneumoperitoneum or pneumatosis cystoides intestinalis? Easy to make a mistake
| Autor: | Daniele Scoglio, Mauro Battistioli, Orlando Gualandi, Maurizia Pozzobon, Gianni Bonotto, Vincenzo Caronia, Paolo Callegari |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
AcademicSubjects/MED00910 business.industry Perforation (oil well) Case Report medicine.disease Asymptomatic Surgery body regions 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Pneumoperitoneum 030220 oncology & carcinogenesis Submucosa Pneumatosis Cystoides Intestinalis medicine Hollow viscus 030211 gastroenterology & hepatology Cyst Surgical emergency medicine.symptom business jscrep/040 |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Pneumoperitoneum refers to the presence of intraperitoneal free gas outside the viscera. A perforation of a hollow viscus is the main cause and usually indicates a surgical emergency. However, some case of pneumoperitoneum can be completely asymptomatic and secondary to benign conditions that do not require any surgical intervention. In this situation a misleading diagnosis of pneumoperitoneum may occur. The authors are going to present a case of a 79-year-old man with an asymptomatic pneumoperitoneum incidentally detected by CT-scan and subsequently revealed to be pneumatosis cystoides intestinalis (PCI) at diagnostic laparoscopy. PCI is a rare condition characterized by the presence of gas-filled cyst in the submucosa/subserosa of the bowel wall that can easily mimic pneumoperitoneum on radiological imaging. A thorough examination of radiological findings is crucial in preventing unnecessary surgical procedures that may expose patients to potential associated morbidities. |
| Databáze: | OpenAIRE |
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