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Idiopathic pneumoperitoneum

Audrienne Sammut, Miguel Soares Oliveira, Claire Jackson, Cristine Sortica da Costa
Pneumoperitoneum in preterm infants is a surgical emergency as it is usually indicative of intestinal perforation. Rare cases of idiopathic pneumoperitoneum have been described in the literature, the underlying causes and pathophysiology of which remain uncertain. We present a case of pneumoperitoneum in an extremely preterm infant with severe growth restriction. This occurred while she was receiving high frequency oscillatory ventilation. She had respiratory distress syndrome with pulmonary interstitial emphysema...
May 16, 2018: BMJ Case Reports
Fatima Zahra Aglili, Maha Oudrhiri, Houria Knouni, Younes Taboz, Hasna Benkiran, Hassan Aguenaou, Fouad Ettaybi, Amina Barkat
Spontaneous neonatal gastric perforation is rare. We report the case of a newborn without any abnormality identified at delivery and whose mother had problem-free pregnancy. On the third day of life, he had a sudden onset of severe abdominal distension followed by bilious vomiting. Abdominal X-rays without treatment showed massive pneumoperitoneum and laparotomy showed a perforation at the level of the anterior gastric wall closed in a single layer closure. Postoperative course was uneventful. Spontaneous neonatal gastric perforation usually has a favorable outcome...
2017: Pan African Medical Journal
Sarah Magdy Abdelmohsen, Mohamed Abdelkader Osman
INTRODUCTION: There have been non-surgical conditions secondary to neonatal pneumoperitoneum (e.g., mechanical ventilation, pulmonary diseases and pneumatosis cystoides intestinalis) that neonates were able to overcome without the need for abdominal exploration. Idiopathic pneumoperitoneum, although similar to perforation of the alimentary tract and the previously mentioned non-surgical conditions, is a rare and benign condition that does not yet have a definite cause. The criteria by which a surgeon decides on which abdomen to open and which one to observe, is ill-defined...
2017: International Journal of Surgery Case Reports
Hideki Yasui, Koshi Yokomura, Takafumi Suda
No abstract text is available yet for this article.
2016: Internal Medicine
Filza Khalid, Hadiel Kaiyasah, Wafa Binfadil, Maiyasa Majid, Wessam Hazim, Yousif ElTayeb
INTRODUCTION: Pneumatosis intestinalis (PI) is not a disease but a radiological finding with a poorly understood pathogenesis. It can be divided into primary/idiopathic (15%) or secondary (85%) Kim et al. 2007, based on the factors thought to play a role in its development. Amongst the rare causes of secondary PI is gastrointestinal (GI) amyloidosis. PRESENTATION OF THE CASE: We report a case of a 46-year-old gentleman who presented with a one month history of acute on chronic abdominal pain, associated with one episode of melena...
2016: International Journal of Surgery Case Reports
Ryo Tanaka, Hitoshi Kameyama, Masayuki Nagahashi, Tatsuo Kanda, Hiroshi Ichikawa, Takaaki Hanyu, Takashi Ishikawa, Takashi Kobayashi, Jun Sakata, Shin-Ichi Kosugi, Toshifumi Wakai
Idiopathic spontaneous pneumoperitoneum is a rare condition that is characterized by intraperitoneal gas for which no clear etiology has been identified. We report here a case of idiopathic spontaneous pneumoperitoneum, which was successfully managed by conservative treatment. A 77-year-old woman who was bedridden with speech disability as a sequela of brain hemorrhage presented at our hospital with a 1-day history of abdominal distention. On physical examination, she had stable vital signs and slight epigastric tenderness on deep palpation without any other signs of peritonitis...
2015: Surgical Case Reports
Nidal İflazoğlu, Oruç Numan Gökçe, Mefküre Mine Kıvrak, Betül Kocamer
Pneumoperitoneum is often caused by visceral perforation, and usually manifests with symptoms of peritonitis requiring surgical intervention. Non-surgical spontaneous pneumoperitoneum (ie. not associated with organ perforation) is a rare entity due to intrathoracic, intra-abdominal, gynecologic, iatrogenic or other reasons, and is usually treated conservatively. Idiopathic spontaneous pneumoperitoneum is even rarer than visceral perforation or other causes of free intra-abdominal air. In this report, we present a case of idiopathic spontaneous pneumoperitoneum...
2015: Ulusal Cerrahi Dergisi
Esther García-Santos, Alejandro Puerto-Puerto, Susana Sánchez-García, Francisco Javier Ruescas-García, Ana Alberca-Páramo, Jesús Martín-Fernández
BACKGROUND: Pneumoperitoneum is defined as the existence of extraluminal air in the abdominal cavity. In 80-90% of cases is due to perforation of a hollow organ. However, in 10-15% of cases, it is nonsurgical pneumoperitoneum. OBJECTIVE: The case of a patient undergoing mechanical ventilation, developing abdominal compartment syndrome tension pneumoperitoneum is reported. CLINICAL CASE: Female, 75 years old asking for advise due to flu of long term duration...
September 2015: Cirugia y Cirujanos
Tao-Zhen He, Chang Xu, Yi Ji, Xiao-Yan Sun, Min Liu
Neonatal pneumoperitoneum is a surgical emergency indicative of gastrointestinal perforation that requires immediate treatment to prevent death. There have been non-surgical conditions secondary to neonatal pneumoperitoneum (e.g., mechanical ventilation, pulmonary diseases and pneumatosis cystoides intestinalis) that neonates were able to overcome without the need for abdominal exploration. Idiopathic pneumoperitoneum, although similar to perforation of the alimentary tract and the previously mentioned non-surgical conditions, is a more rare and benign condition that does not yet have a definite cause...
May 28, 2015: World Journal of Gastroenterology: WJG
Rahul Gupta, Shyam Bihari Sharma, Priyanka Golash, Ritesh Yadav, Dhawal Gandhi
Pneumoperitoneum in the neonate generally is an acute surgical emergency, which has grave implications, and immediate surgical intervention is needed to ensure survival. The most common cause is a perforated hollow viscus. However, there are causes that cannot be attributed to this etiology, constituting what has been called non-surgical, asymptomatic, benign, misleading, spontaneous or idiopathic pneumoperitoneum. Knowledge of this entity and its likely aetiological factors should improve awareness and possibly reduce the imperative to perform an unnecessary emergency laparotomy on an otherwise normal neonate with an unexplained pneumoperitoneum...
July 2014: Journal of Neonatal Surgery
Mohammad Alassaf
INTRODUCTION: Pneumoperitoneum, observed by radiography, is typically associated with the perforation of hollow viscous. More than 90% of all cases of pneumoperitoneum are the result of a gastrointestinal tract perforation. These patients usually present with signs of acute peritonitis and require immediate surgical exploration and intervention. However, rare cases of idiopathic spontaneous pneumoperitoneum do occur without any indication of visceral perforation and other known causes of the free intraperitoneal gas...
2015: International Journal of Surgery Case Reports
L Liu, W Wu, Y Ma, Y Liu, Y Wang, E K Oghagbon, M Xiang, D Huang
No abstract text is available yet for this article.
April 2015: Clinical Otolaryngology
Oliver McLaren
Pneumoperitoneum, gas under the diaphragm, is often a sign of significant intra-abdominal pathology, be it perforation in the stomach or duodenum secondary to peptic ulcer disease or in the small or large bowel as a result of inflammatory bowel diseases, diverticulitis or cancer, it can also be iatrogenic as a result of endoscopy or laparoscopy. The diagnosis is made with erect chest and abdominal radiographs, air is usually most visible under the right hemi-diaphragm. Here, we present a troublesome case of recurrent pneumoperitoneum, which despite extensive investigations and laparotomy no cause was found...
2013: Journal of Surgical Case Reports
David J B Keene, Raimondo M Cervellione
INTRODUCTION: One of the challenges of varicocele surgery is to prevent hydrocele formation while still ensuring success. Methylene blue has been used to identify and preserve lymphatic vessels, and venography has been a standard component of sclerotherapy and percutaneous retrograde techniques. The authors have combined both approaches during laparoscopic varicocelectomy and report their experience. METHODS: A prospective study was performed of adolescents with idiopathic varicocele and spontaneous venous reflux on Doppler ultrasound...
February 2014: Journal of Pediatric Surgery
Akos Farics, Eva Simon, Krisztina Parti, József Bátorfi
Free air within the intraperitoneal cavity most frequently occurs in conjunction with perforation of a hollow viscus and requires urgent surgical intervention. However, approximately 10% of all cases of pneumoperitoneum may not be correlated with disruption of the gastroinestinal tract. In the literature this condition is termed "nonsurgical" (NS) pneumoperitoneum and usually requires conservative management. NS pneumoperitoneum can be classified into the following categories: abdominal, thoracic, gynecologic, and idiopathic...
April 2013: Magyar Sebészet
Atsunori Hiasa, Tsunehiko Shigemori, Chieko Ito, Tomomi Mouri, Seiko Oka, Kenji Takeuchi, Yoshiyuki Ito, Ichirou Imoto, Toshio Kato, Katsunori Uchida
A 58-year-old man was admitted with fever and arthralgia. He had some symptoms suggesting the incomplete type of Behçet disease, and a routine chest X-ray films showed the presence of massive pneumoperitoneum (PP). Exploratory laparotomy revealed no evidence of gastrointestinal perforation or peritonitis. Thus, we initially diagnosed it as idiopathic PP. However a 2×1-mm induration located on the antimesentric side of the ileum 50cm proximal to the ileocecal valve. The wedge-shaped pathological specimen showed ulcer perforation and its restoration...
November 2012: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
Natalia Spinelli, Valentine Nfonsam, Jorge Marcet, Vic Velanovich, Jared C Frattini
Postoperative pneumoperitoneum poses a clinical dilemma. Depending on the cause, its management includes a spectrum from simple observation and supportive care to surgical exploration. The aim of this paper is to present four clinical cases and propose an algorithm for the management of postoperative pneumoperitoneum based on available literature. The causes, diagnosis and possible complications arising from pneumoperitoneum will also be discussed. Three of the four cases presented were successfully managed conservatively and one had an exploratory laparotomy with negative findings...
June 27, 2012: World Journal of Gastrointestinal Surgery
Nilottpal Dey, Lekhachandra Sharma, Birkumar Sharma, Kh Sharat Chandra, Kh Gojen Singh, Ashem Jack Meitei
Perforation of the transverse colon in neonate is a rare finding in clinical practice. We report a case of Idiopathic neonatal colonic perforation in a twenty-one days old, healthy, female neonate without any demonstrable cause. She presented with abdominal distention and constipation. Abdominal radiograph showed massive pneumoperitoneum. On exploration, transverse colonic perforation was found near splenic flexure area. The perforation was closed primarily. Other than inflammatory fibrin flakes the rest of the large intestine and small bowel appeared normal...
June 2011: Indian Journal of Surgery
Wilson Rodrigues de Freitas Junior, Carlos Alberto Malheiros, Paulo Kassab, Elias Jirjoss Ilias
No abstract text is available yet for this article.
November 2011: Revista da Associação Médica Brasileira
Enio Campos Amico, Danilo Vendrame Vivas, José Roberto Alves
Idiopathic pneumoperitoneum is considered a rare condition, as only twenty cases have been described in the last thirty years. The authors report a case of idiopathic massive pneumoperitoneum in a patient aged 45, showing the possible causes of this clinical picture based on a review of medical literature.
March 2011: Revista do Colégio Brasileiro de Cirurgiões
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