Abstract
Pneumoperitoneum, free intraabdominal air, usually results from the perforation of a hollow viscous. In approximately 10% of cases, however, pneumoperitoneum is not caused by gastrointestinal perforation. These cases of “spontaneous pneumoperitoneum” generally follow more benign course and may not require surgical intervention. Examples include cardiopulmonary resuscitation (CPR), malrotation, mechanical ventilator support, gynecologic manipulation, blunt abdominal trauma, and chronic intestinal pseudoobstruction in infancy (Sieber syndrome). But, it is extremely rare of spontaneous pneumoperitoneum secondary to idiopathic intestinal pseudoobstuction in adult. We herein report a patient with chronic idiopathic intestinal pseudoobstuction who developed a pneumoperitoneum.
REFERENCES
1. Mason JM, Mason EM, Kesmodel KF. Spontaneous pneumoperitoneum without peritonitis and without demonstrable cause. In: Tani T, Shirai Y, Sasagawa M, et al. Conservative management of idiopathic pneumoperitoneum masquerading as peritonitis: report a case. Jpn J Surg. 1995; 25:265–267.
2. Mularski RA, Sippel JM, Osborne ML. Pneumoperitoneum: a review of nonsurgical causes. Crit Care Med. 2000; 28:26392644.
3. Williams NMA, Watkin DFL. Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas. Postgrad Med J. 1997; 73:531–537.
4. Winer-Muram HT, Rumbak MJ, Bain RS Jr. Tension pneumoperitoneum as a complication of barotrauma. Crit Care Med. 1993; 21:941–943.
5. Chitchley LA, Rowbottom S. Fatal tension pneumoperitoneum with pneumothorax. Anaesth Intensive Care. 1994; 22:298–299.
6. Johnson EK, Choi YU, Jarrard SW, Rivera D. Pneumoperitoneum after rough sexual intercourse. Am Surg. 2002; 68:430–433.
7. Gensburg RS, Wojcik WG, Mehta SD. Vaginally-induced pneumoperitoneum during pregnancy. Am J Radiology. 1988; 150:595–596.
8. Knechtle SJ, Davidoff AM, Rice RP. Pneumatosis intestinalis. Surgical management and clinical outcome. Ann Surg. 1990; 212:161–165.
9. Shiba H, Aoki H, Misawa T, Kobayashi S, Saito R, Yanaga K. Pneumoperitoneum caused by ruptured gas-containing liver abscess. J Hepatobiliary Pancreat Surg. 2007; 14:210–211.
10. Pidala MJ, Slezak FA, Porter JA. Pneumoperitoneum following percutanous endoscopic gastrostomy: does the timing of pan-endoscopy matter? Surg Endosc. 1992; 6:128–129.
11. Prasannan S, Kumar S, Gul YA. Spontaneous pneumoperitoneum associated with colonic pseudoobstruction. Acta Chir Belg. 2004; 104:739–741.