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Pneumatosis cystoides intestinalis as a rare cause of non-surgical pneumoperitoneum


Authors: J. Kotek 1,2;  T. Dušek 1,2;  M. Sirový 1,2;  Š. Odložilová 1,2;  Petra Kašparová 3;  F. Čečka 1
Authors‘ workplace: Fakultní nemocnice Hradec Králové, Chirurgická klinika, Česká republika 1;  Univerzita obrany, Fakulta vojenského zdravotnictví, Katedra vojenské chirurgie Hradec Králové, Česká republika 2;  Fingerlandův ústav patologie, Fakultní nemocnice Hradec Králové, Česká republika 3
Published in: Rozhl. Chir., 2023, roč. 102, č. 5, s. 214-218.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2023.102.5.214–218

Overview

Pneumoperitoneum as a finding on imaging examinations is not always a sign of acute abdomen due to gastrointestinal perforation. These findings must be viewed in connection with the clinical condition and personal history of each patient because they may also indicate a non-surgical or spontaneous pneumoperitoneum. This condition is repeatedly described but very often neglected. This paper presents the case report of a patient with non-surgical pneumoperitoneum where, despite proceeding according to the guidelines, no expected intra-abdominal pathology explaining the patient’s problems was found.

Keywords:

pneumoperitoneum – pneumatosis cystoides intestinalis – non-surgical pneumoperitoneum – spontaneous pneumoperitoneum


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