Idiopathic Spontaneous Pneumoperitoneum and Call for a Multi-Institutional Database

Author:

Awe Adam M.1ORCID,Burke Lauren M.B.2,Long Millie3,Natarajan Brahma3,Overby David W.1,Campbell Shannelle1

Affiliation:

1. Department of Surgery, University of North Carolina, Chapel Hill, NC

2. Department of Radiology, University of North Carolina, Chapel Hill, NC

3. Division of Gastroenterology, Department of Medicine, University of North Carolina, Chapel Hill, NC

Abstract

ABSTRACT Idiopathic spontaneous pneumoperitoneum (ISP) refers to intraperitoneal air of unknown origin when other more common etiologies such as traumatic, intrathoracic, and gynecologic etiologies have been excluded. We present a case of a 42-year-old woman with insignificant history presenting with ISP who underwent exploratory laparoscopy and thorough diagnostic workup that was ultimately unrevealing. This case report adds to the existing literature of ISP, and the authors recommend initiating a multi-institutional database to improve our understanding of ISP and contribute to developing consensus guidelines for presumed ISP.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference6 articles.

1. Conservative treatment of idiopathic spontaneous pneumoperitoneum in a bedridden patient: A case report;Tanaka;Surg Case Rep,2015

2. Does pneumoperitoneum always require laparotomy? Report of six cases and review of the literature;Karaman;Pediatr Surg Int,2005

3. Spontaneous idiopathic pneumoperitoneum presenting as an acute abdomen: A case report;Pitiakoudis;J Med Case Rep,2011

4. Recurrent idiopathic spontaneous pneumoperitoneum: A case report;Velez;Cureus,2022

5. Spontaneous idiopathic pneumoperitoneum with acute abdomen;İflazoğlu;Ulus Cerrahi Derg,2013

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