Spontaneous idiopathic pneumoperitoneum presenting as an acute abdomen: a case report
2011

Case of Idiopathic Pneumoperitoneum

Sample size: 1 publication Evidence: low

Author Information

Author(s): Pitiakoudis Michail, Zezos Petros, Oikonomou Anastasia, Kirmanidis Michail, Kouklakis Georgios, Simopoulos Constantinos

Primary Institution: Democritus University of Thrace, University General Hospital

Conclusion

A thorough history and physical examination combined with appropriate tests can help identify patients with non-surgical pneumoperitoneum and avoid unnecessary surgeries.

Supporting Evidence

  • The patient presented with acute abdominal pain, fever, and vomiting.
  • Laboratory tests showed leukocytosis and intraperitoneal air.
  • Emergency laparotomy revealed no identifiable cause for the pneumoperitoneum.

Takeaway

A woman had a rare condition where air was found in her abdomen without any obvious cause, and after surgery, she got better even though the reason for the air was unknown.

Methodology

The case involved a thorough medical history, physical examination, laboratory tests, and an emergency laparotomy.

Limitations

The cause of the pneumoperitoneum remained unknown despite extensive investigation.

Participant Demographics

A 69-year-old Greek woman.

Digital Object Identifier (DOI)

10.1186/1752-1947-5-86

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