Articol

Spontaneous Pneumoperitoneum-Role of Diagnostic Laparoscopy: Case Report and Review of Literature

Spontaneous Pneumoperitoneum-Role of Diagnostic Laparoscopy: Case Report and Review of Literature

Authors:

 

Ejaz Ahmed Latif, Syed Muhammad Ali*, Artefaa Al-Shamari, Aryan Ahmed, Yaseen Hammoodi Assaf, Mazen Khattabiand Zia Aftab

 

Department of Surgery, Acute Care Surgery Unit, Hamad Medical Corporation, Doha, Qatar

 

Source:

 

Journal of Clinical Case Reports

 

Abstract
 

Objective:

 

Spontaneous pneumoperitoneum is a rare condition. It presents a challenge to the surgeon as the clinical presentation and radiological findings mimic perforated viscus resulting in unnecessary surgical intervention. The aim of this article is to describe a case of a spontaneous pneumoperitoneum in an elderly patient who underwent diagnostic laparoscopy and review of literature.


Case presentation:

 

A 77-year-old female with multiple comorbidities presented to the emergency department with productive cough, shortness of breath, vomiting and abdominal pain. On examination she had tenderness in epigastric region. Chest X-ray and CT showed free air and fluid in peritoneal cavity.


Results:

 

The patient underwent diagnostic laparoscopy that did not reveal any gastrointestinal perforation.


Conclusion:

 

Spontaneous pneumoperitoneum is frequently mistaken for perforated viscus. If the patient presents with features of peritonitis, diagnostic laparoscopy has a vital role as it prevents unnecessary midline laparotomy.

 

Keywords:

 

Spontaneous pneumoperitoneum; Laparoscopy

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