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
Journal of Clinical Case Reports
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.
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.
The patient underwent diagnostic laparoscopy that did not reveal any gastrointestinal perforation.
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.
Spontaneous pneumoperitoneum; Laparoscopy