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

页码：264 / 268

页数：5

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