ArticleInternational journal of surgery case reports2021
Management of incidentally detected idiopathic pneumoperitoneum: A case report and literature review.
Article in International journal of surgery case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- When Air Is Not an Emergency: Using Intraperitoneal Sevoflurane to Rule Out Perforation.Cureus · 2026Article
- Negative surgical exploration for CT-proven pneumoperitoneum: a diagnostic pitfall in suspected gastrointestinal perforation-a six-case series.Frontiers in surgery · 2026Article
- Article
- Navigating Asymptomatic Idiopathic Pneumoperitoneum: A Case Report and a Literature Review.Cureus · 2024Article
- Idiopathic pneumoperitoneum in a single case: an unusual entity.Journal of surgical case reports · 2023Article
- Pneumoperitoneum: always a surgical case?Journal of surgical case reports · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPneumoperitoneum usually requires emergency surgery. Asymptomatic idiopathic pneumoperitoneum is a rare subgroup of pneumoperitoneum for which a management algorithm has not been established. PRESENTATION OF CASE: In an 88-year-old female patient, pneumoperitoneum was found incidentally by chest computed tomography during a periodic follow-up for sarcoidosis. Emergency admission was ordered for conservative treatment. Upper gastrointestinal endoscopy revealed edematous mucosa in the entire gastric vestibule. After being discharged on the 7th day, her clinical course was uneventful over 2 months of follow-up. DISCUSSION: The initial clinical manifestations of pneumoperitoneum are variable and range widely from asymptomatic to septic shock. The etiology of pneumoperitoneum in our patient implied a subclinical visceral perforation that resolved without treatment. We advocate an algorithm for the initial management of pneumoperitoneum according to the extent of peritonitis and impaired conditions.
conclusionIncidentally found asymptomatic pneumoperitoneum does not always require intervention. Careful and repeated physical assessment with investigation of underlying etiology is important in the management of pneumoperitoneum.
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