Pneumomediastinum, pneumatosis intestinalis and pneumoperitoneum in a patient with polymyositis: case-based review

Dilbil, Melis; Erbasan, Funda; Aslan, Bengisu; Öğüt, Tahir; Nokay, M.; Yazısız, Veli; Terzioğlu, Mustafa Ender

doi:10.1007/s00296-022-05205-1

Cited by 1 publication

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient’s history, clinical examination, and laboratory data should be correlated with the CT findings [ 17 ]. Patients with mild symptoms, benign findings on clinical examination, and no laboratory and imaging evidence of sepsis, bowel ischemia, or perforation can be diagnosed to have non-surgical or spontaneous pneumoperitoneum and can be managed conservatively [ 6 , 16 , 18 ]. Conservative treatment can be started with intravenous antibiotic therapy, nasogastric decompression, and bowel rest.…”

Section: Discussionmentioning

confidence: 99%

Systemic lupus erythematosus presenting with pneumoperitoneum without evidence of pneumatosis cystoides intestinalis—when not to operate—a case report

Iftekhar,

Shaikh,

Alvi

2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Pneumoperitoneum in patients with systemic lupus erythematosus is commonly recognized as a surgical emergency that requires exploration. However, it may not be associated with bowel perforation and may be a benign disease manifestation. We present a case of a young patient who developed spontaneous pneumoperitoneum after pulse steroid therapy for lupus enteritis and was successfully managed conservatively. Patients with connective tissue disease may present with pneumoperitoneum, with or without pneumatosis cystoides intestinalis. Therefore, a detailed clinical history, thorough clinical examination, and laboratory parameters should be evaluated before proceeding with surgical intervention. A conservative approach may be attempted in patients with spontaneous pneumoperitoneum, and surgery should only be considered if clinical deterioration occurs.

show abstract

Section: Discussionmentioning

confidence: 99%