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

Authors: Brill, Simon E.1; Skipworth, James1; Stoker, David L.1

Source: Annals of The Royal College of Surgeons of England, Volume 90, Number 2, March 2008 , pp. W11-W13(1)

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: 10.1308/147870808X257193

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

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