Spontaneous Pneumoperitoneum in a Patient After Ventilation Therapy

Marian, Kuczia; Monika, Kurowska; Bartosz, Kubica

doi:10.1515/pjs-2015-0008

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…Gantt et al [ 3 ] suggested that the origin of SP indicated intra-thoracic, intra-abdominal, gynecological, and iatrogenic causes. The intra-thoracic causes include barotrauma pneumothorax [ 4 ], bronchoperitoneal fistula [ 5 ], pneumomediastinum [ 6 ], and mechanical ventilation [ 7 ]. The intra-abdominal causes include abdominal emphysematous cholecystitis [ 8 ], spontaneous bacterial peritonitis [ 9 ], intestinal cystic pneumatosis [ 10 , 11 , 12 , 13 , 14 , 15 ], and liver abscess [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumoperitoneum due to Constipation

Yamana

Noritomi

Takeno

et al. 2015

Case Rep Gastroenterol

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We report a rare case of spontaneous pneumoperitoneum. An 82-year-old Japanese male patient was referred to our hospital because of constipation and abdominal pain. Abdominal computed tomography revealed a large amount of feces in the colon and rectum, and free air in the abdomen. Based on these findings, the patient was diagnosed with gastrointestinal perforation. Emergency exploratory laparotomy was performed. Neither perforation nor ischemic changes were recognized in the digestive tract. The patient's defecation was managed postoperatively until discharge on the 13th postoperative day. The authors assumed that free air, which was released after a mucosal injury due to the internal pressure caused by the presence of a large amount of feces in the colon and rectum, had penetrated the bowel wall through the bowel mucosa. We herein report the present case while also reviewing the pertinent literature.

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