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Case Report
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| Pneumoperitoneum is not always an indication for laparotomy: A case report | ||||||
| Oleg Ponomarenko1, Ohn Sibirsky1, Sergio Susmallian1 | ||||||
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1Department of Surgery, Bikur Cholim Hospital, Jerusalem, Israel.
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| How to cite this article: |
| Ponomarenko O, Sibirsky O, Susmallian S. Pneumoperitoneum is not always an indication for laparotomy: A case report. International Journal of Case Reports and Images 2012;3(10):39–42. |
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Abstract
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Introduction:
Pneumoperitoneum is a radiological term that is used to describe an abnormal collection of free gas in the peritoneal cavity but outside the viscera. In the majority of cases (>90%), it is a result of perforation of intra-abdominal viscus with serious consequences and it needs for emergency surgical management. Pneumoperitoneum reflex to the surgeons to proceed to an exploration. Laparotomy and general anesthesia are associated with significant morbidity, therefore it is important to recognize idiopathic spontaneous pneumoperitoneum and treat it appropriately.
Case Report: A case of 67-year-old male patient with a massive idiopathic spontaneous pneumoperitoneum that was operated without any cause of free air with a benign evolution during the postoperative period is reported. Conclusion: The absence of clear signs of peritonitis and sepsis allow the possibility to perform more studies as computed tomography scan and not to follow the suggestion of 'any pneumoperitoneum require exploration'. Correct management of those cases can be treated conservatively avoiding unnecessary operations. | |
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Key Words:
Pneumoperitoneum, Pneumatosis, Laparotomy
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Author Contributions:
Oleg Ponomarenko – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ohn Sibirsky – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Sergio Susmallian – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Oleg Ponomarenko et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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