Neumoperitoneo poscolonoscopia sin evidencia de perforación colónica

Montoya, L S Sergio; Arango, Álvaro; Mulett, V Edelberto

doi:10.1016/j.rchic.2016.09.008

Cited by 1 publication

(1 citation statement)

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“…[4] Benign pneumoperitoneum has been previously associated with diverse etiologies, and some case reports highlight the requirement of surgical interventions with no pathological ndings or no association with viscus perforation, [5][6][7][8][9][10] even when a medical procedure has already been performed. [11,12] Regarding urological causes, only one case has been described, which was in relation to an emphysematous pyelonephritis. [13] We present the case of a 53-year-old male with a ureteral stone in whom a pneumoperitoneum was found incidentally during investigation of a renal colic.…”

Section: Introductionmentioning

confidence: 99%

Benign pneumoperitoneum associated with a ureteral stone: a case report

Vargas

Rubiano

Sáenz

2022

Preprint

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Purpose Pneumoperitoneum is mainly associated with perforated abdominal viscus. However, some cases do not involve perforation and do not require surgical intervention, and thus, benign pneumoperitoneum is diagnosed. In rare cases, urological causes can be related to benign pneumoperitoneum. We present a case of benign pneumoperitoneum related with urolithiasis, an association never reported before. Presentation of case We report the case of a 53-year-old male who presented to the emergency department due to a renal colic. Laboratory tests were not suggestive of any infectious or inflammatory processes. Imaging studies revealed a ureteral stone and an incidental finding of pneumoperitoneum not related to viscus perforation. A surgical procedure was indicated for urolithiasis, and several causes of pneumoperitoneum were ruled out. Follow-up studies showed spontaneous pneumoperitoneum regression, and the patient remained asymptomatic. However, the precise cause of the pneumoperitoneum remains unclear. Discussion To our knowledge, this is the first case reported of benign pneumoperitoneum associated with urolithiasis. It is important to highlight that this condition could be managed without surgical intervention after general surgery consultation is obtained. An extensive history and physical examination support the dismissal of bowel perforation as the etiology of pneumoperitoneum. Conclusions Benign pneumoperitoneum remains a diagnostic and therapeutic challenge that, in all cases, requires general surgery consultation to determine the likelihood of bowel perforation and establish an appropriate management for each patient, especially in the decision making of the pertinence of surgical intervention.

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