ArticleCureus2025
Laparoscopic Evaluation of Traumatic Pneumoperitoneum Without Hollow Viscus Injury: A Case Series.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
The presence of free pneumoperitoneum (free intraperitoneal air) after blunt trauma is generally considered indicative of a hollow viscus perforation, often necessitating emergency surgery. This finding presents a major diagnostic challenge in multiply injured patients. Here, we present three cases of traumatic pneumoperitoneum in multiply injured patients without visceral perforation. All patients had sustained high-energy trauma resulting in severe associated injuries, including thoracic trauma and multiple fractures. Diagnostic laparoscopy was utilized to evaluate the abdomen in each case and successfully ruled out intra-abdominal injuries, thus avoiding the morbidity of an unnecessary laparotomy. Our experience suggests that diagnostic laparoscopy can be a safe and effective tool for the evaluation of hemodynamically stable, multiply injured patients with traumatic pneumoperitoneum of an unclear etiology.
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