Non surgical pneumoperitoneum: a case report

Abstract

RESUMENEl neumoperitoneo es gas libre dentro de la cavidad abdominal. Este hallazgos suele conllevar la necesidad de intervención quirúrgica. Presentamos el caso de un varón intervenido de resección hepática abierta de metástasis de origen colorrectal, con tumor primario ya intervenido previamente. Al sexto día del egreso hospitalario acude a urgencias por fiebre, evidenciando en pruebas radiológicas neumoperitoneo sin clínica abdominal. Se inicia tratamiento conservador, con evolución satisfactoria y siendo catalogado como neumoperitoneo residual.Palabras clave: Neumoperitoneo; no quirúrgico; causas; manejo conservador SUMMARY Pneumoperitoneum is a radiological sign defined as free air in the abdominal cavity. It is usually a surgery indication. We report a liver resection for colorrectal metastases (previously resected). Patient was discharged without complications, but at 6th day postoperative he was admitted to Hospital for fever and cough. No abdominal patological signs were identificated. In radiological tests, pneumoperitoneum was diagnosed. Conservative management was iniciated with satisfactory results. PAtint was discharged at 5th day without clinical symptons.