Spontaneous Pneumoperitoneum in a Female Patient Without Hollow Organ Perforation and Peritonitis
https://doi.org/10.23934/2223-9022-2021-10-1-224-228
Abstract
Pneumoperitoneum normally occurs due to perforation of the hollow organ of the gastrointestinal tract, which is accompanied by the development of peritonitis. Cases of free gas without perforation and peritonitis are rare. Such situations are called “nonsurgical pneumoperitoneum”. This clinical case of a patient with pneumoperitoneum and no clinical picture of acute pathology in the abdominal cavity id reported in this article. Such patients should be carefully monitored by a surgeon to avoid unnecessary laparotomy.
About the Authors
V. A. Golbraykh
Volgograd State Medical University of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor of the Department of Hospital Surgery
1 Pavshikh Boytsov Sq., Volgograd, 400131, Russian Federation
S. S. Maskin
Volgograd State Medical University of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery
1 Pavshikh Boytsov Sq., Volgograd, 400131, Russian Federation
V. V. Matyukhin
Volgograd State Medical University of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Surgery
1 Pavshikh Boytsov Sq., Volgograd, 400131, Russian Federation
A. G. Аrutyunyan
Volgograd State Medical University of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Specialist in educational and methodological work of the Department of Hospital Surgery
1 Pavshikh Boytsov Sq., Volgograd, 400131, Russian Federation
References
1. Schein M, Rogers PN, Leppäniemi A, Rosin D. Schein’s Common Sense Prevention and Management of Surgical Complications. Shrewsbury: TFM Publishing Ltd; 2013.
2. Alassaf M. Recurring spontaneous aseptic pneumoperitoneum presenting secondary to an unrelated chief complaint: A case report. Int J Surg Case Rep. 2015;7C:96–98. PMID: 25603306. https://doi.org/10.1016/j.ijscr.2014.10.038
3. Britt CI, Christofordis AJ, Andrews NC. Asymptomatic spontaneous pneumoperitoneum. Am J Surg. 1961;101(2):232–235. https://doi.org/10.1016/0002-9610(61)90760-7
4. Daly BD, Guthrie JA, Couse NF. Pneumoperitoneum without peritonitis. Postgrad Med J. 1991;67(793):999–1003. PMID: 1775427 https://doi.org/10.1136/pgmj.67.793.999
5. Sidel N, Wolbarsht A. Spontaneous pneumoperitoneum from an unknown cause. N Engl J Med. 1944;231:450–452. https://doi.org/10.1056/NEJM194409282311303
6. Dodek SM, Friedman JM. Spontaneous pneumoperitoneum. Obstet Gynecol. 1953;1(6):689–698. PMID: 13063842
7. Hoover EL, Cole GD, Mitchell LS, Adams CZ Jr, Hassett J. Avoiding laparotomy in nonsurgical pneumoperitoneum. Am J Surg. 1992;164(2):99–103. PMID: 1636904 https://doi.org/10.1016/s0002-9610(05)80363-0
8. Rigler LG. Spontaneous pneumoperitoneum: a roentgenologic sign found in the supine position. Radiology. 1941;37(5): 604–607. https://doi.org/10.1148/37.5.604
9. Madura MJ, Craig RM, Shields TW. Unusual causes of spontaneous pneumoperitoneum. Surg Gynecol Obstet. 1982;154(3):417–420. PMID: 7038948
10. Williams NM, Watkin DF. Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas. Postgrad Med J. 1997;73(863):531–537. PMID: 9373590 https://doi.org/10.1136/pgmj.73.863.531
11. Wright AR. Spontaneous pneumoperitoneum. AMA Arch Surg. 1959;78(3):500–502. https://doi.org/10.1001/archsurg.1959.04320030144025
12. Butorova LI. Divertikuljarnaja bolezn’ tolstoj kishki: klinicheskie formy, diagnostika i lechenie. Moscow: 4TE Art Publ.; 2011. (in Russ.).
13. Schein M, Rogers P, Assalia A. (eds.) Schein’s Common Sense Emergency Abdominal Surgery. 3rd ed. Berlin Heidelberg: Springer-Verlag; 2009.
14. Kalymbetov RB, Abuov SM, Zharmenov SM Artykbaev AZh, Kalymbet AB. Saint triad as a rare cause of the presence of free gas in the abdominal cavity without peritonitis. Vestnik KazNMU. 2014;(2):244–245. (in Russ.).
15. Freeman RK. Pneumoperitoneum from oral-genital insufflation. Obstet Gynecol. 1970;36(1):162–164. PMID: 5422082
16. Tabrisky J, Mallin LP, Smith JA. Pneumoperitoneum after coitus; a complication due to uterine tube prolapse after vaginal hysterectomy. Obstet Gynecol. 1972;40(2):218–220. PMID: 5047956
Review
For citations:
Golbraykh V.A., Maskin S.S., Matyukhin V.V., Аrutyunyan A.G. Spontaneous Pneumoperitoneum in a Female Patient Without Hollow Organ Perforation and Peritonitis. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(1):224-228. https://doi.org/10.23934/2223-9022-2021-10-1-224-228
Views:
6152
Email this article 