title: Pneumoperitoneum in a patient with lymphangiomyomatosis.
abstract: A 32-year-old Japanese housewife with a 2-year history of retroperitoneal and pulmonary lymphangiomyomatosis had a sudden onset of severe abdominal pain. Chest X-ray and plain abdominal films showed free air under the diaphragm and a small pneumothorax in the left lower pleural space. Emergency laparotomy revealed no perforated viscera, but there was a rupture in the mid-portion of the left diaphragm. It appears that increasing pressure in the left pneumothorax burst the left diaphragm leading to pneumoperitoneum.
authors.affiliation: Department of Internal Medicine, Miyazaki Prefectural Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tamura
authors.forename: Y
authors.initials: Y
authors.lastname: Satoh
authors.forename: A
authors.initials: A
authors.lastname: Ikoma
authors.forename: T
authors.initials: T
authors.lastname: Miyazaki
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D008203:Lymphangiomyoma / Q000150:complications* / Q000000981:diagnostic imaging; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging