Home >> Annals of The Royal College of Surgeons of England, Volume 90, Number 2

Free Content Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report

Authors: Brill, Simon E.; Skipworth, James; Stoker, David L.

Source: Annals of The Royal College of Surgeons of England, Volume 90, Number 2, March 2008 , pp. W11-W13(3)

Publisher: The Royal College of Surgeons of England

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Abstract:

We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unnecessary laparotomy, and clinical examination for the presence of peritonitis is the most important determinant of the need for emergency surgery.

Keywords: PNEUMOPERITONEUM; PNEUMATOSIS INTESTINALIS; CONSERVATIVE MANAGEMENT

Document Type: Case report

DOI: http://dx.doi.org/10.1308/147870808X257193

Affiliations: 1: Department of Surgery, North Middlesex University Hospital, London, UK

Publication date: 2008-03-01

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  • The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.

    The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.

    Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database

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