2019, Number 3
<< Back Next >>
Anales de Radiología México 2019; 18 (3)
Non surgical pneumoperitoneum
Martínez-Hernández-Magro P, Lazarini-Díaz-Barriga JA, Mendoza-Suárez J, Lemus-Sánchez G
Language: Spanish
References: 12
Page: 207-211
PDF size: 1717.67 Kb.
ABSTRACT
Objective: To present a case of non-surgical pneumoperitoneum secondary to pneumatosis intestinalis.
Case presentation: Male patient 85 years old in study for diffuse gastrointestinal symptoms, during his evaluation was found free perihepatic air in abdominal computed tomography (CT) for which surgical evaluation is requested. The patient was asymptomatic and without sepsis data. The CT scan shows intramural and serous air filled cysts in colon that suggests the origin of the pneumoperitoneum. The patient was only monitored and conservative treatment was carried out.
Discussion: The most common intraabdominal cause of spontaneous pneumoperitoneum is Pneumatosis cystoides intestinalis.
Conclusions: There are cases of non-surgical pneumoperitoneum.
REFERENCES
Mularski RA, Ciccolo ML, Rapapport WD. Nonsurgical causes of Pneumoperitoneum. WJM. 1999;170(1):41-6.
Lida A, Naito H, Tsukahara K, Yumoto T, Nosaka N, Kawana S, et al. Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary disease:a case report. J Med Case Reports. 2017;11:55.
Rachapalli W, Chaluvashetty SB. Pneumatosis Cystoides Intestinalis. J Clin Diag Res. 2017;11(6):TJ01-2.
Cruz-Ramos J, Pérez-Fernández LF, Herrera-García W, Granados-Navas FJ. Neumoperitoneo causado por ventilación mecánica asistida. Acta Pediatr Mex. 2010;31(4):168-73.
Larrañaga I, Meneu JC, Díaz G, Mendía E, Rey A, Fresneda V. Neumoperitoneo no quirúrgico. Cir Esp. 2000;67:5:411-523.
Kelly GS, Grandy B, Rice J. Diffuse pneumatosis coli. J Emerg Med. 2018;54(6):e137-e139.
Nishimura JM, Farzaneh T, Pigazzi A. Pneumatosis coli causing pneumoperitoneum. J Surg Case Reports. 2017;1:1-3.
Iriarte Gallego G, Baez García J, Martinez Hernandez Magro P, Gomez Jardon JA, Valdéz Martinez E, Sanchez Vazquez G. Neumatosis Coli. Rev Gastroenterol Mex. 2007;72(2):133-5.
Vassiliou MC, Adrales GL. Pneumatosis Cystoides Coli. N Engl J Med. 2009;361:8.
Ooi SMS. Pneumoperitoneum in a non-acute abdomen—pneumatosis cystoides intestinalis. Surg Case Reports. 2015;1:44.
Mourra N, Fontugne J. Extensive pneumatosis coli misdiagnosed and mismanaged as polyposis. Scand J Gastroenterol. 2013;48:119-20.
Rath T, Roeb E, Doppl WE. Pneumatosis coli as a rare complication of bowel preparation. Endoscopy. 2010;42:E344-5.