Case Reports
doi: 10.1080/00015458.2003.11679473.
Recurrent "spontaneous" pneumoperitoneum: a diagnostic and therapeutic dilemma
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- PMID: 14653034
- DOI: 10.1080/00015458.2003.11679473
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Case Reports
Recurrent "spontaneous" pneumoperitoneum: a diagnostic and therapeutic dilemma
Acta Chir Belg.
2003 Oct.
Abstract
The finding of intraperitoneal free gas usually indicates a perforated abdominal viscus, and requires emergency surgery. In a minority of cases, no perforation can be found, a situation that can be classified as "spontaneous" pneumoperitoneum. A conservative approach may be considered if clinical signs are minimal, particularly when peritoneal signs, fever and leucocytosis are absent. The various causes of spontaneous pneumoperitoneum are discussed.
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