Spontaneous pneumoperitoneum. A surgical dilemma.
Am Surg
; 57(3): 151-6, 1991 Mar.
Article
en En
| MEDLINE
| ID: mdl-2003702
ABSTRACT
Pneumoperitoneum is usually the result of hollow viscus perforation with associated peritonitis. Nonsurgical spontaneous pneumoperitoneum incidental to intrathoracic, intra-abdominal, gynecologic, iatrogenic, and other miscellaneous causes not associated with perforated viscus have been documented in the literature. Seven cases of spontaneous pneumoperitoneum admitted over 3-year period to Grady Memorial Hospital, Atlanta, Georgia are reported. Six patients with pneumoperitoneum underwent exploratory laparotomy when clinical examination suggested an acute abdomen; no intra-abdominal pathology was documented in any of these patients. A seventh patient, on ventilatory support, was managed conservatively after performing a diagnostic peritoneal lavage that was negative. There were no cases of radiographically misdiagnosed pneumoperitoneum. Pneumoperitoneum, preceded by a reasonable incidental cause in a patient with a adequate abdominal examination, may warrant continued observation thus avoiding an unnecessary laparotomy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neumoperitoneo
Límite:
Adult
/
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
Am Surg
Año:
1991
Tipo del documento:
Article
País de afiliación:
Georgia
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
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UNITED STATES OF AMERICA
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US
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USA