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Case Reports
. 2023 Jun 23;18(9):3101-3104.
doi: 10.1016/j.radcr.2023.06.016. eCollection 2023 Sep.

Infected intraperitoneal collection mimicking pneumoperitoneum

Nur Izzati Syahirah Awang Senik  1   2 , Erinna Mohamad Zon  3   2 , Rahimah Abdul Rahim  3   2 , Nur Asma Sapiai  1   2
Affiliations
Case Reports

Infected intraperitoneal collection mimicking pneumoperitoneum

Nur Izzati Syahirah Awang Senik et al. Radiol Case Rep. .

Abstract

Acute abdomen is an emergent condition that requires immediate evaluation and prompt treatment. Pneumoperitoneum is defined as the presence of air or gas in the peritoneal cavity. There are various potential causes of pneumoperitoneum, as well as conditions that can mimic or pseudo pneumoperitoneum. We encountered a case of a 26-year-old woman who had a history of postexploratory laparotomy, left ovarian cystectomy, left ovarian reconstruction, right salpingooophorectomy, and infracolic omentectomy for bilateral mucinous cystadenoma and mature cystic teratoma. On the eighth day following her operation, she developed progressive abdominal distension.

Keywords: Acute abdomen; Pneumoperitoneum; Pseudo pneumoperitoneum.

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Figures

Fig 1:
Fig. 1
Abdominal radiograph shows large lucency suspicious of a football sign (massive pneumoperitoneum).
Fig 2:
Fig. 2
Ultrasound abdomen show complex ascites.
Fig 3:
Fig. 3
(A, B, and C): CT abdomen show a large well-defined, intra-abdominal collection with air-fluid level with peripheral peritoneal enhancement.
See this image and copyright information in PMC

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