Spontaneous pneumoperitoneum in the absence of visceral perforation in a patient with systemic sclerosis: a case report

被引：0
作者：
Martinez-Garza, Pablo A. [1 ]
Hermosillo-Cornejo, Daniel G. [1 ]
Lopez-Almanza, Perla X. [2 ]
Lopez-Mendez, Edgardo E. [3 ]
Montalvo-Dominguez, Gerardo A. [1 ]
机构：
[1] Fdn Clin Med Sur, Dominguez Dept Cirugia Gen 1 1 1, Mexico City, Mexico
[2] Univ Panamericana, Dept Serv Social Med, Mexico City, Mexico
[3] Fdn Clin Med, Dept Endoscopia, Mexico City, Mexico
来源：
CIRUGIA Y CIRUJANOS | 2024年 / 92卷 / 02期
关键词：
Pneumoperitoneum; Spontaneous pneumoperitoneum; Systemic sclerosis; Scleroderma; PNEUMATOSIS-INTESTINALIS; MANAGEMENT;
D O I：
10.24875/CIRU.22000182
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We present the case of a 44 year old woman with systemic sclerosis who presented with intense abdominal pain without signs of peritonitis. An abdominal computed tomography showed generalized intestinal dilation, intestinal pneumatosis and an extensive pneumoperitoneum. A diagnostic laparoscopy was performed but no perforation nor gastrointestinal leakage were found. Spontaneous pneumoperitoneum in patients with systemic sclerosis without visceral perforation is an extremely rare complication. Physicians must have a low threshold of suspicion for this entity when a patient with systemic sclerosis presents with spontaneous pneumoperitoneum in the absence of peritoneal signs.
引用
收藏
页码：264 / 268
页数：5
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