Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas.

Abstract:

:Intraperitoneal free gas seen radiologically as air under the diaphragm nearly always indicates a perforated abdominal viscus that requires surgical intervention. Rarely, however, the presence of a pneumoperitoneum may not indicate an intra-abdominal perforation and thus may not require laparotomy. Such a situation is termed spontaneous or nonsurgical pneumoperitoneum. In this review, we explore the aetiological mechanisms and the pathophysiology of the appearance of intra-abdominal free gas. An appreciation of the condition and its likely aetiological factors should improve awareness and possibly reduce the imperative to perform an emergency laparotomy on an otherwise well patient with an unexplained pneumoperitoneum.

journal_name

Postgrad Med J

authors

Williams NM,Watkin DF

doi

10.1136/pgmj.73.863.531

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

531-7

issue

863

eissn

0032-5473

issn

1469-0756

journal_volume

73

pub_type

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